逆转腹腔透析患病率的下降:2023年台湾腹腔透析退款倡议
Yen-Hsuan Tai1, Yang Ho1, Mu-Chi Chung2
1Division of Nephrology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
概括
台湾 台湾 台湾 台湾
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生政策 公共卫生政策
- 脏替代疗法治疗 脏替代疗法
背景情况:
- 尽管患者的生存率很高,但台湾的腹腔透析 (PD) 使用率正在下降.
- 患者意识有限和PD和血液透析 (HD) 之间的财务阻碍有助于这种下降.
- 一项新的补偿计划旨在通过重新平衡激励措施和促进PD来扭转这一趋势.
研究的目的:
- 评估2023年7月启动的国家补偿计划的短期结果,以促进腹腔透析 (PD) 的采用.
- 评估该倡议对PD单位建立,员工教育和综合护理模式的影响.
- 测量PD患病率和护理质量遵守的变化.
主要方法:
- 台湾国家医疗保险管理局于2023年7月启动了一项退款计划.
- 该倡议鼓励建立新的PD单位,员工培训,综合护理,共享决策 (SDM) 和远程医疗咨询.
- 到2023年底收集的数据主要集中在PD单位状态,流行率和质量坚持得分上.
主要成果:
- 六个以前关闭的PD单位重新开放,并建立了68个新单位.
- 粗 PD 患病率从 7.5% 增加到 7.9% (p=0.006).
- 在医疗中心,坚持高标准的PD护理质量标准达到100%,在区域医院达到近90%.
结论:
- 报销计划在短期内显示出有希望的结果,提高了PD的患病率,并保持了高质量的护理.
- 该倡议正在进行中,计划至少持续实施三年.
- 台湾的模型为其他国家提供了关于调动医疗保健团队和赋予患者PD扩张权力的见解.
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