“Emergency-Only Dialysis” Policy Puts Burdens on Clinicians

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Following emergency-only hemodialysis (EOHD) policies for undocumented immigrants causes moral distress and may contribute to burnout among healthcare professionals at safety-net hospitals, reports a qualitative study in Annals of Internal Medicine.

The researchers interviewed 50 physicians, nurses, and other clinicians at safety-net hospitals/systems in two cities (Denver and Houston) that provided a high volume of EOHD for undocumented patients. Thematic analysis was performed to describe the experiences and perspectives of clinicians providing this type of care.

Four major themes were identified. Emergency-only dialysis policies contributed to drivers of professional burnout, with healthcare professionals experiencing emotional exhaustion related to