Editing Kidney dialysis (section)

==== Home dialysis ====
UK clinical guidelines recommend offering people a choice regarding where they get their dialysis.<ref name=":1" /> Research in the UK found that receiving [[Home hemodialysis|dialysis at home]] can lead to better quality of life and is less costly than receiving dialysis in hospital.<ref name=":0">{{Cite journal |date=2022-08-10 |title=Why don't people have kidney dialysis at home? |url=https://evidence.nihr.ac.uk/alert/why-dont-people-have-kidney-dialysis-at-home/ |journal=NIHR Evidence |language=en |doi=10.3310/nihrevidence_52322|s2cid=251513385 }}</ref><ref>{{cite journal | vauthors = Roberts G, Holmes J, Williams G, Chess J, Hartfiel N, Charles JM, McLauglin L, Noyes J, Edwards RT | title = Current costs of dialysis modalities: A comprehensive analysis within the United Kingdom | journal = Peritoneal Dialysis International | pages = 578–584 | date = January 2022 | volume = 42 | issue = 6 | pmid = 35068280 | doi = 10.1177/08968608211061126 | s2cid = 246239905 | doi-access = free }}</ref>  However, many people in the UK prefer to receive dialysis in hospital: In 2022, only 1 in 6 chose receiving it at home.<ref name=":0" /><ref name=":2" /><ref name=":1" />

There are various reasons why people do not choose home dialysis.  Among these are preferring hospitals as a way of getting regular social contact, being concerned about necessary changes to their homes and their family members becoming carers.<ref name=":0" /><ref name=":2" /> Other reasons include a lack of motivation, doubting abilities for self-managed treatment, and not having suitable housing or support at home.<ref name=":1" /> Hospital dialysis is also often presented as the norm by healthcare professionals.<ref name=":1" />

Encouraging people to have dialysis at home could reduce the impact of dialysis on people's social and professional lives.<ref name=":0" /><ref name=":2">{{cite journal | vauthors = Mc Laughlin L, Williams G, Roberts G, Dallimore D, Fellowes D, Popham J, Charles J, Chess J, Williams SH, Mathews J, Howells T, Stone J, Isaac L, Noyes J | title = Assessing the efficacy of coproduction to better understand the barriers to achieving sustainability in NHS chronic kidney services and create alternate pathways | journal = Health Expectations | volume = 25 | issue = 2 | pages = 579–606 | date = April 2022 | pmid = 34964215 | pmc = 8957730 | doi = 10.1111/hex.13391 }}</ref> Some ways to help are offering peer support from other people on home dialysis, better education materials, and professionals being more familiar with home dialysis and its impact. Choosing home dialysis is more likely at kidney centers which have better organisational culture, leadership and attitude.<ref name=":1" />