在南亚脏病学家中,人们对腹腔透析利用的感知障碍
Vinant Bhargava1, Priti Meena2, Krishna Kumar Agrawaal3
1Department of Nephrology, Sir Ganga Ram Hospital, New Delhi, India.
概括
腹腔透析 (PD) 的利用率在南亚较低,原因是成本,报销问题和负面态度. 解决这些障碍对于改善置换治疗的准入至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 腹腔透析 (PD) 是全球重要的替代疗法 (KRT).
- PD提供了诸如维护功能和改善生活质量的好处.
- 在南亚 (SA),PD利用率低于最佳水平,这表明存在重大交付差距.
研究的目的:
- 在南亚的科医生中识别PD利用的感知障碍.
- 了解该地区限制PD采用的因素.
主要方法:
- 进行了一项横截面调查.
- 来自南亚地区的732名瘤学家参加了这次会议.
主要成果:
- 大多数受访者 (44.7%) 每年发病病例少于6例,使用率低.
- 成本和补偿政策是主要障碍,44.3%的人认为PD比血液透析 (HD) 更昂贵.
- 可访问性,负面态度和对并发症的恐惧也阻碍了PD的采用. 在南非国家,PD成本各不相同.
结论:
- 成本,补偿,可访问性和负面看法是南亚PD的重大障碍.
- 由于国家间的成本差异,需要量身定制的健康经济战略.
- 有针对性的干预措施对于克服挑战和促进SA的PD至关重要.
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