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质量保证和测量替代疗法的结构:ISN-GKHA的一项跨国研究
Udeme E Ekrikpo1, Bianca Davidson2, Viviane Calice-Silva3,4
1Department of Internal Medicine, University of Uyo Teaching Hospital, Uyo, Nigeria.
Nephrology (Carlton, Vic.)
|October 6, 2024
概括
功能衰竭护理的质量在全球范围内各不相同,低收入国家在透析和免疫抑制的基本监测和标准方面落后. 标准化对于改善置换疗法患者的治疗结果至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 全球健康 全球健康
背景情况:
- 最佳的功能衰竭护理对于减少不良健康结果至关重要,包括心血管事件和死亡率.
- 国际脏学会全球脏健康地图 (ISN-GKHA) 提供了全球脏护理的关键数据.
研究的目的:
- 评估在功能衰竭护理中提供优质服务的全球能力.
- 评估功能衰竭护理的质量,并监测不同国家和地区的质量指标.
主要方法:
- 利用了ISN-GKHA调查第三次代的数据.
- 在2022年7月至9月期间,从ISN附属国家的国际利益相关方收集数据.
- 分析了护理质量和监测功能衰竭患者的质量指标.
主要成果:
- 167个国家参加,占全球人口的97.4%.
- 81%的血液透析国家 (HD) 提供标准疗程,61%的腹腔透析国家 (PD) 提供标准护理.
- 在质量监测方面存在显著差异,高收入国家显示透析水质量 (98%vs28%) 和免疫抑制监测 (90%vs21%) 的比率高于低收入国家 (LICs).
结论:
- 诊断和治疗工具的质量保证是高度变化的,特别是在LICs.
- 提供脏替代疗法的标准化对于改善患者的治疗结果至关重要.
- 解决功能衰竭护理的质量差距,特别是在资源有限的环境中,是全球卫生优先事项.
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