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Strengthening kidney care through evidence-informed participatory policymaking

Nature Reviews Nephrology (2026)Cite this article

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Dialysis is among the most cost-intensive health services available; however, its availability is often shaped by competing interests among providers, payers, industry and patients. Thailand’s experience in aligning these interests offers valuable lessons for countries that are striving to expand equitable kidney care within limited fiscal space and progress towards universal health coverage.

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Fig. 1: Processes for inclusive and evidence-informed decision-making.

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  1. Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, India

    Neha Purohit & Shankar Prinja

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  1. Neha Purohit
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  2. Shankar Prinja
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Correspondence to Shankar Prinja.

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The authors declare no competing interests.

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Purohit, N., Prinja, S. Strengthening kidney care through evidence-informed participatory policymaking. Nat Rev Nephrol (2026). https://doi.org/10.1038/s41581-025-01032-2

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