The report from the IGES Institute analyzes the current dialysis care in Germany and discusses options for addressing the increasing demand for services. Home treatment methods play an important role in this context. The number of patients requiring dialysis has increased since 1995, and a further rise in patient numbers is expected in the future, alongside a decline in the number of outpatient nephrologists, according to the authors' forecasts. Based on structured literature and internet research, guideline-supported expert interviews with representatives from various areas of dialysis care, a Delphi method, and modeling, this book presents for the first time the care structures and processes as well as the care needs of patients with terminal kidney failure. Various options for ensuring adequate care in the future are outlined.