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Improving Indigenous patient access to kidney transplantation (IMPAKT)



The aim of the Improving Indigenous patient access to kidney transplantation (IMPAKT) study was to identify Indigenous Australians' barriers to accessing renal transplantation, and to propose strategies to reduce disparities in access to transplantation.

The research program included the following three component studies:

Component 1 was undertaken in 2004, resulting in several papers published in peer reviewed journals. Data collection for component 2 was completed in February 2006. Component 3 commenced in July 2006, and a peer-reviewed publication resulted in 2007.

Abstract adapted from the George Institute


Dr Alan Cass
Project Leader
The George Institute of Sydney

Related publications

Anderson K, Devitt J, Cunningham J, Preece C, Jardine M, Cass A (2012)

If you can't comply with dialysis, how do you expect me to trust you with transplantation? Australian nephrologists' views on Indigenous Australians' 'non-compliance' and their suitability for kidney transplantation.

International Journal for Equity in Health; 11(21): 1-14

Morton RL, Devitt J, Howard K, Anderson K, Snelling P, Cass A (2010)

Patient views about treatment of stage 5 CKD: a qualitative analysis of semistructured interviews.

American Journal of Kidney Diseases; 55(3): 431-440

Anderson K, Yeates K, Cunningham J, Devitt J, Cass A (2009)

They really want to go back home, they hate it here: the importance of place in Canadian health professionals' views on the barriers facing Aboriginal patients accessing kidney transplants.

Health & Place; 15(1): 390-393

Devitt J, Cass A, Cunningham J, Preece C, Anderson K, Snelling P (2008)

Study Protocol – Improving Access to Kidney Transplants (IMPAKT): a detailed account of a qualitative study investigating barriers to transplant for Australian Indigenous people with end-stage kidney disease.

BMC Health Services Research; 8: 31

Retrieved 4 February 2008 from

Anderson K, Devitt J, Cunningham J, Preece C, Cass A (2008)

"All they said was my kidneys were dead": Indigenous Australian patients' understanding of their chronic kidney disease.

Medical Journal of Australia; 189(9): 499-503

Cunningham J (2007)

Making an IMPAKT: a national study aimed at improving access to optimal treatment for people with end-stage kidney disease.

The Chronicle; 10(2): 17-18

Cass A, Cunningham J, Anderson K, Snelling P, Colman S, Devitt J, Preece C, Eris J (2007)

Decision-making about suitability for kidney transplantation: results of a national survey of Australian nephrologists.

Nephrology; 12(3): 299-304

Anderson K, Cass A, Cunningham J, Snelling P, Devitt J, Preece C (2007)

The use of psychosocial criteria in Australian patient selection guidelines for kidney transplantation.

Social Science & Medicine; 64(10): 2107-2114

Cass A, Devitt J, Preece C, Cunningham J, Anderson K, Snelling P, Eris J, Ayanian J (2004)

Barriers to access by Indigenous Australians to kidney transplantation: the IMPAKT study.

Nephrology; 9(Supplement 4): s144-s146


Last updated: 15 June 2016
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