世界的な腎臓の健康状態の評価
Aminu K Bello1, Adeera Levin2, Marcello Tonelli3
1Department of Medicine, University of Alberta, Edmonton, Canada.
JAMA
|April 22, 2017
まとめ
世界的な腎臓のケア能力は大きく異なり,特に発展途上国では,サービスと労働力の大きなギャップがあります. これは世界中の腎臓病管理を強化するための改善戦略の必要性を強調しています.
科学分野:
- 腎臓科
- 公衆衛生
- グローバル・ヘルス・エクイティ
背景:
- 腎臓病は 世界的な健康問題です
- 世界中で腎臓の治療の可用性と質に関する情報は限られている.
- これらのギャップを埋めることは 患者の治療結果を改善し 腎臓疾患の負担を軽減するために 極めて重要です
研究 の 目的:
- 腎臓のケアに関する 全世界の準備,能力,能力の評価
- 異なる国や地域における 腎臓のケア提供の違いを特定する
- 世界的に腎臓ケアの質を向上させるための戦略を策定する.
主な方法:
- 国際腎臓学会 (ISN) は2016年5月から9月にかけてアンケート調査を実施した.
- この調査は,ISNに加盟する130カ国を対象に実施され,主要な利害関係者の意見を集めました.
- サービス提供,資金調達,労働力,情報システム,腎臓ケアに関するガバナンスに関するデータを収集しました.
主要な成果:
- 125か国からの回答は,腎臓のケア能力における地域間および地域内での大きな格差を明らかにした.
- 血液透析,腹腔透析,移植サービスの利用率は著しく変化し,アフリカでは低い.
- 慢性腎疾患のモニタリングと健康情報システム (腎臓登録簿) のための重要な診断ツールは,世界的に,特に発展途上国で限られていた.
結論:
- この研究では 腎臓のケアインフラとサービスにおける 世界的な不平等が強調されています
- 腎臓疾患の管理のための 労働力,診断,健康情報システムに重大な欠陥があります.
- 腎臓の治療の質とアクセシビリティを 世界的に改善するために 標的を絞った介入の必要性を強調しています
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