Kidney Failure Home Care: An On-Demand Solution for Patients Who Refuse Hospitalization

Kidney failure is a chronic condition that requires long-term medical treatment, including regular monitoring, strict diet, and in many cases, dialysis therapy (hemodialysis). However, not all kidney failure patients are willing to undergo hospitalization, either due to personal reasons, financial constraints, cultural beliefs, or fear of the hospital environment. In situations like this, on-demand healthcare services are present as an alternative for flexible and humane medical assistance. 

On-demand healthcare refers to doctors, nurses, or other medical personnel who can be accessed at the patient's request through a digital platform, and provide direct services at home. This service model is very suitable for kidney failure patients who are still in stable condition, but require close supervision and regular support without having to be fully hospitalized. 

In the context of kidney failure, on-demand healthcare workers can provide various services such as blood pressure monitoring, body fluid examination (edema), drug consumption monitoring, nutritional education, and psychological support for patients and families. Even in some cases, medical personnel can accompany patients undergoing peritoneal dialysis (self-dialysis at home) with regular training and evaluation.

The flexibility of visits that can be adjusted to the patient's condition and comfort makes this service more humane. Patients feel that they still have control over their lives, without having to experience psychological stress due to prolonged hospitalization. In addition, the regular presence of medical personnel at home can build trust and encourage patients to be more compliant with treatment. 

The implementation of this service also supports the sustainability of medical monitoring through technology. Digital platforms usually allow recording of patient condition developments in real time, including blood pressure data, daily weight, and symptom records. This allows doctors to make clinical decisions faster if there is a significant change in the patient's condition. 

However, challenges such as limited health workers, self-service costs that are not yet fully affordable, and limited home infrastructure (such as unsterile rooms or inadequate medical equipment) remain a concern. Therefore, synergy between health service providers, the government, and the patient's family is important in ensuring the success of this approach. 

Overall, on-demand health worker services offer a realistic and empathetic solution for kidney failure patients who refuse hospitalization. This approach not only prioritizes medical care, but also respects the patient's life choices, making them active partners in the healing process.