# Role of the Patient Care Technician in Dialysis

> **NIH AHRQ R03** · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · 2023 · $50,008

## Abstract

PROJECT SUMMARY
In the United States, >47,000 dialysis patient care technicians (PCTs) are responsible for the technical
management of in-center hemodialysis (HD) for nearly 500,000 patients. The authority for dialysis PCTs to
perform other clinical tasks varies by state, but it may be common practice to delegate inappropriate tasks to
dialysis PCTs. In fact, there were <5000 licensed practical/vocational nurses nationwide in dialysis clinics in
2018, suggesting that dialysis PCTs are likely providing much of the medical care that might otherwise be
assigned to these nurses. Further, relative to other team members, PCTs spend the most time with patients
in the dialysis clinic, presenting a clear opportunity to engage dialysis PCTs in improving the quality of
dialysis care overall. Even with mandated interdisciplinary dialysis care teams and ongoing national quality
improvement efforts that are tied to reimbursement, delivery of high-quality, patient-centered dialysis care
remains elusive in the United States. Our overarching goal is to explore the role of the dialysis PCT in dialysis
care, informing future efforts to increase overall quality of care in the dialysis setting by engaging PCTs. In Aim
1, we will use national administrative data describe patterns of dialysis PCT staffing (e.g., number of PCTs,
percentage of PCT positions that are open, PCT:patient and PCT:other staff ratios) over time and explore
associations of this staffing with patient outcomes (e.g., hospitalization, mortality, transplant and waitlisting,
permanent vascular access use) using quantitative methods. In Aim 2, we will explore perceptions of the roles
and abilities of the dialysis PCT, priorities for PCT training interventions, and potential barriers to their
implementation using qualitative methods. Specifically, we will conduct six focus groups (n=6-8 each) with
interdisciplinary dialysis care team members (two with PCTs; two with physicians, nurses, social workers,
dietitians, and administrators; two with in-center HD patients) to prioritize training needs and identify issues
(e.g., communication, cultural competency, person-centered care delivery, organizational culture) that will need
to be addressed for PCTs to become valued comembers of the dialysis care team. This proposed formative
study, using both secondary data analysis and qualitative data collection, will increase our understanding of
dialysis PCT staffing and its potential association with patient outcomes; the amount of care beyond the
technical management of hemodialysis that is being, or could be, provided by dialysis PCTs; and the perceived
adequacy of training and knowledge among dialysis PCTs to provide that care. The preliminary data collected
here will directly inform future studies that will lay the groundwork to improve the ability of the entire dialysis
care team to better engage dialysis PCTs—ultimately leading to integrated, coordinated whole-person, 360-
degree care to optimize individual a...

## Key facts

- **NIH application ID:** 10704148
- **Project number:** 7R03HS029245-02
- **Recipient organization:** UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
- **Principal Investigator:** Laura Plantinga
- **Activity code:** R03 (R01, R21, SBIR, etc.)
- **Funding institute:** AHRQ
- **Fiscal year:** 2023
- **Award amount:** $50,008
- **Award type:** 7
- **Project period:** 2022-09-30 → 2024-09-29

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10704148

## Citation

> US National Institutes of Health, RePORTER application 10704148, Role of the Patient Care Technician in Dialysis (7R03HS029245-02). Retrieved via AI Analytics 2026-05-25 from https://api.ai-analytics.org/grant/nih/10704148. Licensed CC0.

---

*[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*