Community Hemodialysis in China: Opportunities and Challenges

IntroductIon At present in China, hospital‐based dialysis facilities are fully occupied, while the number of community hemodialysis (HD) centers is growing. In December 2016, the National Health and Family Planning Commission of China (NHFPC) set up “the regulations for the basic standard and the management of hemodialysis center,”[1] which are the unified principles of the nation, as the mark of the policy released for independent HD centers. This benefits the standardization of the development of independent HD centers and the safety of patients. In the meanwhile, it makes a standard, transparent, and fair market for building independent HD centers under the capital operation, which can benefit for the development of community HD in China. In this review, we describe the trend of dialysis worldwide, followed by the current picture of disease burden caused by end‐stage renal diseases (ESRDs) in China, as well as the opportunities and challenges for the development of community HD.