提供医疗保健服务 提供医疗保健服务
Marc Bauwens1, Florian Bayer2, Thierry Lobbedez3
1Service de néphrologie, CHU Poitiers, France
概括
法国通过各种医疗保健提供者提供多种替代疗法选择. 然而,治疗方式分布存在区域差异,需要基于网络的方法来更好地评估.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗保健管理的管理
- 流行病学 流行病学
背景情况:
- 法国国家ESKD (末期脏病) 登记册,由REIN (法国脏流行病学和信息网络) 管理,已经完成了20年.
- 对ESKD的医疗保健服务的分析对于了解患者获取和治疗公平至关重要.
研究的目的:
- 总结法国国家ESKD注册表在20年的贡献.
- 分析法国ESKD医疗保健服务的现状.
主要方法:
- 从法国国家ESKD注册表 (REIN) 的数据的审查.
- 分析不同替代疗法模式的空间分布.
- 使用合作机构的基于网络的方法评估医疗保健提供.
主要成果:
- 法国为ESKD患者提供各种各样的当地医疗保健服务,涉及公共,大学和私营部门.
- 在不同治疗方式的分布上存在显著的地域差异.
- 建议基于网络的医疗保健提供,分组合作机构的代表性,比孤立的单位更适合实践评估.
结论:
- 法国ESKD医疗保健的特点是多样性和局部适应性,但治疗选择的空间分布不均.
- 通过合作机构集团代表医疗服务的REIN方法为评估医疗保健实践和解决区域差异提供了更有效的框架.
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