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Italian Society of Nephrology’s 2018 census of renal and dialysis units: their structure and organization
Giuseppe Quintaliani1, Anteo Di Napoli2, Paolo Reboldi3
1Direttivo SIN, Perugia, Italia.
Insights
This Italian Society of Nephrology census analyzed 2018 data from renal and dialysis units, revealing resource allocation and workload. Findings provide a benchmark for chronic kidney disease management across Italy.
Area of Science:
- Nephrology
- Public Health
- Healthcare Management
Background:
- Chronic kidney disease (CKD) presents a significant public health challenge.
- The Italian Society of Nephrology (SIN) initiated a national census of renal and dialysis units.
- The census focused on the year 2018 to assess resources and activities.
Purpose of the Study:
- To analyze the structural and human resources within Italian renal and dialysis units.
- To evaluate organizational aspects, activities, and workload in 2018.
- To establish a baseline for benchmarking and comparison of CKD care.
Main Methods:
- An online questionnaire with 60 questions was distributed.
- The survey targeted heads of all identified Italian renal or dialysis units.
- Data collected included structural, human resources, organizational, and epidemiological information for 2018.
Main Results:
- 567 renal units were identified in the census.
- Public renal unit density was 3.3 per million population (pmp).
- Nephrology bed availability was approximately 37.6 pmp, with 8,130 nurses in hemodialysis wards.
Conclusions:
- The collected data offer a comprehensive snapshot of renal disease clinical management in Italy.
- These findings can be utilized for benchmarking and regional comparisons.
- The census provides valuable insights for improving healthcare resource allocation in nephrology.
Abstract:
Background: Given the public health challenge represented by chronic kidney disease, the Italian Society of Nephrology (SIN) promoted a census of the renal and dialysis units to analyze structural and human resources, organizational aspects, activities and workload, referring to the year 2018. Methods: An on-line questionnaire including 60 questions, exploring structural and human resources, organizational aspects, activities and epidemiological data referred to 2018, was sent to the heads of all identified Italian renal or dialysis unit. Results: 567 renal units were identified, 3.3 public and full renal unit pmp. The nephrology beds are about 37.6 pmp. The nurses were 8,130 in HD wards, 1,827 in the nephrology wards, only 432 for outpatient clinics. Conclusions: Data from this census may be used for benchmarking and comparison between centers, regions and groups of regions. These data offer a snapshot of the clinical management of renal disease in Italy.
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