{"title":"另一个国家肾脏护理政策实验的结束","authors":"Angela Retano-Anderson","doi":"10.1016/j.nurpra.2025.105513","DOIUrl":null,"url":null,"abstract":"<div><div>End-stage renal disease (ESRD) treatment has been the subject of federal policy initiatives aimed at containing costs and supporting quality outcomes. In 2021, the ESRD Treatment Choices (ETC) Model was initiated, promoting home dialysis and kidney transplantation. Although scheduled to continue until 2027, the initiative was announced in March 2025 to end 2 years ahead of schedule. The demise of ETC highlights complex social, economic, and clinical factors underlying patterns of ESRD treatment choice. Because advanced practice nurses (APNs) play a crucial role in supporting informed decision-making in renal care, they need to understand what happened and the implications for APN practice.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 10","pages":"Article 105513"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The End of Another National Policy Experiment in Kidney Care\",\"authors\":\"Angela Retano-Anderson\",\"doi\":\"10.1016/j.nurpra.2025.105513\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>End-stage renal disease (ESRD) treatment has been the subject of federal policy initiatives aimed at containing costs and supporting quality outcomes. In 2021, the ESRD Treatment Choices (ETC) Model was initiated, promoting home dialysis and kidney transplantation. Although scheduled to continue until 2027, the initiative was announced in March 2025 to end 2 years ahead of schedule. The demise of ETC highlights complex social, economic, and clinical factors underlying patterns of ESRD treatment choice. Because advanced practice nurses (APNs) play a crucial role in supporting informed decision-making in renal care, they need to understand what happened and the implications for APN practice.</div></div>\",\"PeriodicalId\":101233,\"journal\":{\"name\":\"The Journal for Nurse Practitioners\",\"volume\":\"21 10\",\"pages\":\"Article 105513\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-09-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Journal for Nurse Practitioners\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1555415525001965\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal for Nurse Practitioners","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1555415525001965","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
The End of Another National Policy Experiment in Kidney Care
End-stage renal disease (ESRD) treatment has been the subject of federal policy initiatives aimed at containing costs and supporting quality outcomes. In 2021, the ESRD Treatment Choices (ETC) Model was initiated, promoting home dialysis and kidney transplantation. Although scheduled to continue until 2027, the initiative was announced in March 2025 to end 2 years ahead of schedule. The demise of ETC highlights complex social, economic, and clinical factors underlying patterns of ESRD treatment choice. Because advanced practice nurses (APNs) play a crucial role in supporting informed decision-making in renal care, they need to understand what happened and the implications for APN practice.
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