在获得家庭透析方面的国际公平
Arpana Iyengar1, Robert Kalyesubula2,3, Rasha Darwish4
1Department of Pediatric Nephrology, St John's Medical College Hospital, Bangalore, India.
Current opinion in nephrology and hypertension
|September 16, 2024
概括
全球获得家庭透析,主要是腹腔透析,面临着严重的不平等. 解决这些问题需要培训和克服成本和后勤障碍,特别是在低收入和中等收入国家.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 全球卫生平等全球卫生平等
背景情况:
- 家庭透析,特别是腹膜透析,在患者自由,与血液透析可比的结果,成本效益和可扩展性方面具有优势.
- 尽管有好处,但全球分布和家庭透析的获取却存在显著的不平等.
研究的目的:
- 讨论在家庭透析的分配和获取方面的全球不平等和不平等.
- 确定导致家庭透析接入差异的关键障碍.
主要方法:
- 对全球家庭透析接入现有文献的综述.
- 分析影响患者,临床医生,卫生系统和地缘政治不平等水平的因素.
主要成果:
- 腹膜透析是家庭透析的主要形式,但集中在少数国家.
- 患者层面的不平等是由贫困,歧视和缺乏家庭支持驱动的.
- 临床医生和卫生系统的障碍包括缺乏经验和资源,有利于中心内透析.
- 地缘政治因素,如腹膜透析解决方案的高成本,加剧了获取不平等.
结论:
- 减少家庭透析接入的全球不平等,特别是在低收入和中等收入国家,需要为医疗保健专业人员,患者和社区提供全面培训.
- 解决供应成本和后勤问题对于实现和维持家庭透析的公平获取至关重要.
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