WCN25-4406 EQUITABLE ACCESS TO ALL-“HUB AND SPOKE MODEL” FOR HEMODIALYSIS PATIENTS IN REMOTE AREAS

Healthcare resources in developing countries are limited.A major proportion of patients are deprived of access to hospitals.There are many hindrances(financial,geographical etc) leading to infrequent follow up of hemodialysis patients.Ultimately,it leads to poor treatment adherence and increased complications.To address this,World Kidney Day Theme for year 2024 was “Kidney health for all – Advancing equitable access to care and optimal medication practice”.Hub and spoke model for hemodialysis patients in remote areas is a major step taken in this direction.Centralized hub provides timely interventions andsupport,resulting in enhanced patient outcomes and operational efficiency.We conducted a comparative analysis of patient outcomes,operational efficiency,cost effectiveness between dialysis centres with telemedicine model and those with only in-person visit .The hub-spoke telemedicine model demonstrated significant improvement in patient adherence,with 35% increase compared to in-person visit model.Significant proportion of patients achieved adequate blood pressure (BP) control in telemedicine group with comparable rates as observed in in-person visits,satisfaction rates were as high as 83% with alleviation of financial burden,travel time and distance barriers.These findings suggest implementing such model significantly benefits remote dialysis care by leveraging centralized expertise and real time monitoring capabilities.