Within healthcare, many services extend beyond routine checkups; some even become lifelines. Dialysis is one of these life-saving treatments. Unfortunately, not everyone who needs it has access to it.
For patients undergoing dialysis treatments*, non-emergency medical transportation (NEMT) isn't just a ride — it is a literal lifeline to their dialysis appointment. NEMT ensures they receive that critical care reliably and compassionately, without the stress of transportation hurdles. This is especially crucial given that many patients require dialysis several times a week. Relying on NEMT providers rather than burning out family members for their support allows patients to maintain their dignity throughout their dialysis journey.
NEMT service not only provides physical transport but also offers emotional support filled with compassion and empathy, from the dedicated drivers — of whom we call dears of the road — to those navigating the challenges of chronic illness.
In this article, we’ll explore how NEMT serves as this lifeline for dialysis patients, delivering not only the to and from appointments, but also empathy along the way. But first, let’s make sure you understand what dialysis even is.
Understanding dialysis Dialysis is a medical treatment that performs the functions of the kidneys if they fail or are unable to work properly. The primary roles of dialysis include:
Removing waste products and excess fluids from the blood Maintaining safe levels of certain chemicals in the blood, such as potassium, sodium and bicarbonate Helping to control blood pressure There are two main types of dialysis: Hemodialysis : Most patients undergo hemodialysis three times a week. Each session usually lasts about three to five hours. The schedule can be adjusted based on the patient's condition, with some patients requiring more frequent sessions. Peritoneal Dialysis : Continuous Ambulatory Peritoneal Dialysis (CAPD): Typically performed four to five times a day, with each exchange taking about 30 to 40 minutes. Continuous Cycling Peritoneal Dialysis (CCPD): Usually done overnight while the patient sleeps, with an automated machine performing multiple exchanges over eight to ten hours. Patients receiving hemodialysis are the most likely to use NEMT services. Peritoneal dialysis, on the other hand, is primarily conducted at home or for patients already under hospital care. Therefore, NEMT services are particularly crucial for those undergoing hemodialysis, ensuring they can reliably get to their treatments. Here’s why NEMT is so important for these hemodialysis patients:
Compassion on the road For dialysis patients, many of whom may be dealing with fatigue and discomfort, a compassionate approach can make a significant difference. Imagine a ride where the driver knows your name, remembers your preferences (from that calming playlist for the long commute to that favorite healthy snack when hunger pangs kick in), and genuinely cares about your overall well-being — just like Bambi would for all his furry forest friends. NEMT providers understand that their service goes beyond the simple act of driving. It's about being there, on time, every time, with a friendly smile.
Safety and reliability Safety is paramount in healthcare transportation. NEMT ensures that patients get to their dialysis appointments safely, comfortably and reliably, regardless of weather conditions or traffic jams. This might mean picking up patients even earlier if traffic or storms are expected. It's about providing peace of mind, knowing that no matter what, patients will receive the treatment they need on schedule.
Emotional support Beyond the physical transport, NEMT offers emotional support. It's about understanding the challenges patients face and being there to listen and console. Oftentimes, a reassuring conversation or a simple smile can lighten the burden of chronic illness.
Independence and dignity For many dialysis patients, NEMT provides a sense of independence and dignity , as they don’t need to rely on their friends and families for rides. It allows them to maintain their routines, stay connected with their communities and continue to lead fulfilling lives despite their medical needs.
*Global and national context As of recent estimates, approximately 500,000 to 550,000 people in the U.S. alone are on dialysis, with two to three million people worldwide requiring dialysis. Access to this life-saving treatment is not universally available, and many individuals in low- and middle-income countries face significant barriers such as limited healthcare infrastructure, financial constraints, and a shortage of dialysis facilities. Organizations and healthcare providers are working tirelessly to improve global access to dialysis and kidney care. Their efforts aim to address these disparities, ensuring that more patients with kidney disease receive the treatment they need for better health outcomes. As of early 2024, there are approximately 7,584 dialysis centers across the U.S. These centers are part of the broader network of facilities that provide essential services to patients with end-stage renal disease. The industry has seen steady growth, reflecting the increasing prevalence of chronic kidney disease and the rising demand for dialysis treatments. Sources: United States Renal Data System (USRDS) , Centers for Disease Control and Prevention (CDC) , National Kidney Foundation (NKF) , ESRD Networks and First Research )
At Bambi, we’re dedicated to ensuring our customers are well-informed about the various healthcare services their potential customers might need. That's why we want to provide more context on dialysis — not just because many dialysis patients use NEMT services, but also to help NEMTpreneurs entering the market. We recommend reaching out to dialysis facilities in your area to see if they’ve partnered with any NEMT providers. If not, you could offer your services to their patients. This is just one of the many ways to grow your business locally.
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