Jurnal Kebidanan dan Keperawatan Aisyiyah e-ISSN 2477-8184 Vol. 19, No. 1 (2023), pp. (25-39) p-ISSN 1858-0610 10.31101/jkk.3069 This is an open access article under the CC–BY-SA license 25 Health care services need in hemodialysis patients: a qualitative study Yuliani Budiyarti * , Evimira Sukanti Postgraduate Program of Muhammadiyah University Banjarmasin, Banjarmasin, Jl. S. Parman No.97 District Banjarmasin Tengah Kota Banjarmasin (70114), Indonesia yuliani@stikesmb.ac.id Submitted: April 12, 2023 Revised: May 2, 2023 Accepted: June 10, 2023 Abstract Qualified health care is health care that is provided based on the needs of the patient, not on what the provider institution has. Patients with chronic diseases such as kidney failure who undergo hemodialysis need more supportive nursing care, such as physical, psychological, and informational support about their condition. This study is intended to explore and identify the need for health services for patients who get hemodialysis therapy. This research is phenomenological qualitative. Data was collected using semi-structured and in-depth interviews with 17 participants with end-stage renal failure undergoing hemodialysis therapy, selected by purposive sampling. Thematic analysis was used to perform data analysis. The study found three main themes: services to fulfill basic needs during hemodialysis therapy; support received while undergoing hemodialysis therapy; and various health services that have yet to be received while undergoing hemodialysis therapy. It can be concluded that identifying service needs positively impacts service quality as healthcare workers will better understand patient expectations. Hemodialysis patients have basic physical, psychological, and support needs. Unmet needs include inadequate drug therapy, inadequate health workers, and unmet information needs. Healthcare providers should develop strategies to manage these needs, including physical and psychological modifications, improved facilities, infrastructure, human resources, and interdisciplinary approaches. Keywords: hemodialysis; patient needs; qualitative studies; service 1. Introduction Chronic diseases are the biggest challenge faced by the healthcare system, which causes huge healthcare costs for society and the government (Cockwell & Fisher, 2020; J. Wang et al., 2018). One of the chronic diseases considered a major health problem worldwide is chronic kidney disease (Ahmadpour et al., 2020). It is predicted that the prevalence of chronic kidney disease reached 850 million worldwide in 2017, higher than the estimated prevalence of diabetes and HIV/AIDS, which reached almost two times and 20 times, respectively (Jager et al., 2019). Globally, CKD ranks as the third fastest-growing cause of death. By 2024, it is expected to rank fifth as a common cause of death (Foreman et al., 2018). The most common type of Kidney Replacement Therapy (KRT) worldwide is hemodialysis (HD), which accounts for more than 69% of all KRT (Bello et al., 2017) and 89% of all dialysis (Pecoits- Filho et al., 2020). HD outcomes vary globally, with high morbidity and mortality rates. Continued improvement in healthcare quality in HD patients is limited due to limited monitoring, variable outcome definitions, a lack of safety standards, and gaps in renal failure care, including shortages of health workers and healthcare information systems (Bello et al., 2019; Htay et al., 2021; Sautenet et al., 2018; Sola et al., 2020). Physical, psychological, emotional, spiritual, social, and economic problems are things that are often experienced by patients who undergo HD to have an impact on their quality of life (Dingwall et al., 2021; Fadlalmola & Elkareem, 2020; Knowles et al., 2016). Patients undergoing hemodialysis experience much stress, family and social relationship changes, and sometimes isolation or social