在加拿大安大略省的慢性病计划中,脏移植转诊的变化
Seychelle Yohanna1, Kyla L Naylor2,3,4, Bin Luo2,4
1Division of Nephrology, McMaster University, Hamilton, ON, Canada.
Canadian journal of kidney health and disease
|June 26, 2023
概括
在加拿大安大略省的慢性病 (CKD) 计划中,移植转诊率有很大差异. 这项研究突出了获得移植的差异,影响了公共医疗保健系统中的患者公平.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于患有功能衰竭的患者来说,公平获得移植至关重要.
- 在移植转诊率中观察到显著的区域差异.
- 安大略省的公共卫生保健系统拥有27个区域慢性病 (CKD) 计划,引发了人们对转诊公平的担忧.
研究的目的:
- 在安大略省27个CKD项目中调查脏移植转诊率的变化.
- 确定获得移植的潜在差异.
- 评估地理区域对移植转诊概率的影响.
主要方法:
- 基于人口的队列研究,使用相关的行政医疗保健数据 (2013-2016).
- 分析包括患有晚期CKD和接受维持透析的患者.
- 计算了1年累积推概率和标准化推比率 (SRR),根据患者的特征进行调整.
主要成果:
- 在晚期CKD和维持透析患者的CKD计划中观察到1年移植转诊概率的显著变化.
- 调整后的SRR差异很大,表明不同计划的推率高于平均水平或低于平均水平.
- 位于安大略省北部地区的患者在1年内移植转诊的概率显著降低.
结论:
- 在安大略省公共卫生保健系统内的CKD计划中,脏移植转诊率存在显著差异.
- 这些发现强调了需要制定战略,以确保公平获得移植的必要性.
- 地理位置似乎是影响移植转诊率的一个因素.
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