提供慢性腹膜透析的全球结构,实践和工具
Yeoungjee Cho1, Brett Cullis2, Isabelle Ethier3
1Centre for Kidney Disease Research, University of Queensland at Princess Alexandra Hospital, Brisbane, Queensland, Australia.
概括
腹腔透析 (PD) 的可用性和负担能力在全球范围内有很大差异,观察到主要的差距和不平等,特别是在儿童和低收入国家. 与全球血液透析相比,获得PD的机会仍然有限.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 全球健康 全球健康
- 卫生经济学 卫生经济学
背景情况:
- 与血液透析相比,腹膜透析 (PD) 的吸收在全球范围内有限.
- 在PD的可用性,可访问性和可负担性方面,各国存在显著的差异.
研究的目的:
- 评估腹腔透析 (PD) 的全球格局.
- 调查了全球PD的组织结构,可用性,可访问性,负担能力和质量.
主要方法:
- 使用脏登记册和利益相关者调查进行横截面研究.
- 数据收集自2022年7月至9月期间与国际腎病学会 (ISN) 关联的167个国家.
主要成果:
- 79%的国家有PD,高收入国家 (HICs) 的患病率是低收入国家 (LICs) 的80倍.
- 在53%的国家中,成年人比儿童更容易获得PD;PD的公共资金较低 (全球为29%).
- 平均年度PD成本为18,959美元,LIC的成本最高,还有大量的自付费用.
结论:
- 在PD可用性,访问性和负担能力方面,全球存在重大差距和变化.
- 对于LIC中的儿童和个人来说,在PD访问方面存在重大不平等.
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