Health care provision

On the occasion of the 20th anniversary of the REIN (French Renal Epidemiology and Information Network), a summary work on the contributions of the French national ESKD register was carried out. On the issue of healthcare provision, the following key messages were retained. France offers diversified, local healthcare that adapts to the patients’ needs with several additional players (public, university, lucrative private, solidarity private). However, the spatial distribution of this offer shows differences between territories as regards the distribution of the different treatment modalities. For several years now, the REIN proposes a new way of representing the provision of care using groups of establishments working together, a granularity that seems more suited to the evaluation of practices than isolated dialysis units.