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Volume 14
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10.3390/medsci14030373
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This is an early access version, the complete PDF, HTML, and XML versions will be available soon.
Article

Nationwide Implementation of a Digital Health Module for Chronic Kidney Disease Screening: A RE-AIM Evaluation in Peru’s Social Health System

by
Percy Allan Vidal Orbegozo
1,
Lizbeth Carmen Arce Gallo
1,
Isabel Julia Alamo Palomino
1,
Madelaine Huanca Roca
1,
Juana Eliza Ormeño Galarza
1,
Dayana Ticona-Tiña
2,
Luis Randy Loayza Arroyo
2,
Alexis German Murillo Carrasco
3,*,
Moisés Apolaya-Segura
4 and
Daysi Zulema Diaz-Obregón
2
1
Centro Nacional de Salud Renal, Seguro Social de Salud (EsSalud), Lima 15073, Peru
2
ONG Innovation and Science for the Care and Support of Society–INNOVACARE, Lima 15023, Peru
3
Organization for Medical Innovation and Collaboration for Sciences—OMICS, Lima 15072, Peru
4
Instituto de Evaluación de Tecnologías en Salud e Investigación (IETSI), Seguro Social de Salud (EsSalud), Lima 15073, Peru
*
Author to whom correspondence should be addressed.
Med. Sci. 2026, 14(3), 373; https://doi.org/10.3390/medsci14030373 (registering DOI)
Submission received: 4 May 2026 / Revised: 23 June 2026 / Accepted: 3 July 2026 / Published: 4 July 2026
Versions Notes

Abstract

Background: Chronic kidney disease (CKD) is a major public health problem, primarily affecting patients with diabetes mellitus and/or hypertension. Early detection is critical to delay progression to renal replacement therapy. Therefore, this study aims to evaluate the implementation of a digital module for CKD detection in at-risk patients within the Peruvian Social Health Insurance system (EsSalud) during 2024. Materials and Methods: Data were collected through the Renal Health Module (MOSARE), a digital tool integrated into EsSalud’s electronic health record for monitoring patients at risk of CKD. Key indicators were assessed using the RE-AIM framework: reach, effectiveness, adoption, implementation, and maintenance. Quantitative analyses evaluated patient identification, screening, and diagnosis, while qualitative analyses of technical documents identified barriers, facilitators, and stakeholder perceptions. Results: In 2024, MOSARE was implemented in a population of 1,667,856 insured individuals with CKD-related risk conditions, predominantly women (55.7%) and adults aged > 55 years (88.3%). Nationwide, 93,266 patients were screened (5.59% reach), with 34.3% diagnosed with CKD. Screening coverage showed substantial geographic variability (0.35–29.59%). A total of 32,004 CKD cases were identified, with 84.2% in early stages (1–3A). Adoption reached 66.8% of level I and II healthcare facilities, with variability across networks. Regarding maintenance, 65% of trained facilities sustained active use. Implementation gaps were associated with interoperability issues, resource limitations, and training variability. Conclusions: MOSARE proved to be a feasible and operationally sensitive tool for CKD screening and risk identification, improving integration of renal care. However, addressing technical, training, and resource barriers is essential to ensure sustainability and scalability.
Keywords: chronic kidney disease; screening; digital tools; MOSARE; RE-AIM; EsSalud chronic kidney disease; screening; digital tools; MOSARE; RE-AIM; EsSalud

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MDPI and ACS Style

Vidal Orbegozo, P.A.; Arce Gallo, L.C.; Alamo Palomino, I.J.; Roca, M.H.; Galarza, J.E.O.; Ticona-Tiña, D.; Arroyo, L.R.L.; Murillo Carrasco, A.G.; Apolaya-Segura, M.; Diaz-Obregón, D.Z. Nationwide Implementation of a Digital Health Module for Chronic Kidney Disease Screening: A RE-AIM Evaluation in Peru’s Social Health System. Med. Sci. 2026, 14, 373. https://doi.org/10.3390/medsci14030373

AMA Style

Vidal Orbegozo PA, Arce Gallo LC, Alamo Palomino IJ, Roca MH, Galarza JEO, Ticona-Tiña D, Arroyo LRL, Murillo Carrasco AG, Apolaya-Segura M, Diaz-Obregón DZ. Nationwide Implementation of a Digital Health Module for Chronic Kidney Disease Screening: A RE-AIM Evaluation in Peru’s Social Health System. Medical Sciences. 2026; 14(3):373. https://doi.org/10.3390/medsci14030373

Chicago/Turabian Style

Vidal Orbegozo, Percy Allan, Lizbeth Carmen Arce Gallo, Isabel Julia Alamo Palomino, Madelaine Huanca Roca, Juana Eliza Ormeño Galarza, Dayana Ticona-Tiña, Luis Randy Loayza Arroyo, Alexis German Murillo Carrasco, Moisés Apolaya-Segura, and Daysi Zulema Diaz-Obregón. 2026. "Nationwide Implementation of a Digital Health Module for Chronic Kidney Disease Screening: A RE-AIM Evaluation in Peru’s Social Health System" Medical Sciences 14, no. 3: 373. https://doi.org/10.3390/medsci14030373

APA Style

Vidal Orbegozo, P. A., Arce Gallo, L. C., Alamo Palomino, I. J., Roca, M. H., Galarza, J. E. O., Ticona-Tiña, D., Arroyo, L. R. L., Murillo Carrasco, A. G., Apolaya-Segura, M., & Diaz-Obregón, D. Z. (2026). Nationwide Implementation of a Digital Health Module for Chronic Kidney Disease Screening: A RE-AIM Evaluation in Peru’s Social Health System. Medical Sciences, 14(3), 373. https://doi.org/10.3390/medsci14030373

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