Background:
Home modalities offer advantages over in-centre dialysis, including reduced overall health care spending. However, patients face significant out-of-pocket costs to train at St. Paul's Hospital if they live outside the Lower Mainland. Little is known about the impact of this financial burden.

Objective:
This study aims to understand the costs patients incur for home dialysis training in Vancouver.

Methods:
We surveyed patients to characterize experiences, attitudes, and opinions about training costs via thematic analysis.

Results:
Fifteen patients completed the survey (average age 63; 60% male), consisting of 11 BC and 4 Yukon residents, of whom the majority did PD. Respondents highlighted accommodation as the most expensive aspect, and all supported creation of a funding program.

Conclusion:
Reducing the financial burden of training for patients outside urban centres has important implications for increasing uptake of home modalities. We have secured funding for one patient to train in the Vancouver area.

Patient Perspectives on Financial Barriers to Home Dialysis Training in BC and Yukon: A Qualitative Survey