Conclusions

Quite often difficult undertakings require simple solution approaches. A clear definition of targets is fundamental: the patient deserves the best possible dialysis treatment to optimize outcome and quality of life. Winning models need to be monitored and continuously improved; scientific collection of clinical data is the key.

The second step is the consistent multiplication of common elements to dedicate maximum resources to the target achievement and to the challenges coming from the variety and differences of the environment.

Medical and nursing care have to be wholly dedicated to patients in a genuine team approach that reinforces the learning process of all people involved and of the same system. From this viewpoint variety and complexity are strengths.

The consequences of the recognition of obligations with respect to shareholders and community are finally an efficient allocation of resources that will positively affect, in a self-reinforcing loop, the possibility to improve the treatment of patients, respecting the dignity and the personal development of all human beings involved.

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