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Wabula, La Rakhmat
Fakultas Keperawatan, Universitas Airlangga
Humanities Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences

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Urgency of equitable access to and quality of hemodialysis services at the community level Wabula, La Rakhmat
Indonesian Journal of Health Services Vol. 2 No. 4 (2025): October - December
Publisher : Science Center Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63202/ijhs.v2i4.123

Abstract

Chronic kidney disease (CKD) continues to increase in Indonesia and requires long-term kidney replacement therapy, particularly hemodialysis, to sustain patients’ lives. However, hemodialysis services remain largely centralized in urban hospitals, creating significant physical, financial, and psychological burdens for patients living in peri-urban and rural areas. Limited accessibility often reduces treatment adherence and negatively affects patients’ quality of life. This article highlights the urgency of expanding equitable access to hemodialysis services at the community level through the decentralization of dialysis units and the strengthening of community-based nursing roles. Community nurses play a critical role in patient education, self-management support, and continuity of care beyond the clinical setting. In addition, integrating psychosocial support, peer groups, and family involvement is essential to address the emotional challenges faced by hemodialysis patients. Strengthening community-level hemodialysis services is therefore a strategic approach to improve treatment accessibility, patient empowerment, and overall quality of life.
Co-Authors Angga Miftakhul Nizar Ardiansyah, Fakrul Arindiah Windari Bambang Purwanto Cahyu Septiwi Efendi, Sudirman Ellen Lombonaung Endah Fitriasari Endah Fitriasari, Endah Ika Yuni Widyawati Ira Sandi Tunny Krisna Yetti Kusnanto Kusnanto Lombonaung, Ellen Lusia Henny Mariati M. Taufan Umasugi M. Yasir Payapo Maritje S. J. Malisngorar Maryam Lihi Masfuri - Mohammad Dahlan Sely Mursalim Saman Muttaqien, Salsabilla Nessy Anggun Primasari, Nessy Anggun Nurlina, Wa Ode Peluw, Zulfikar Restiyana Agus Sandi, Yudisa Diaz Lutfi Saripah, Eli Sembiring, Erika Emnina Suahryono Suharyono Suryanti Tukiman Syahfitrah Umamity Syahfitrah Umamity Syahfitrah Umamity Syaiful . Tehupelasury, Fahrunnissa Tunny, Ira Sandi Umamity, Syahfitrah Widyatuti Windari, Arindiah Puspa Yohana Agustina Sitanggang