运输与家庭透析之间的关联 过渡:回顾性队列研究
Na'amah Razon1,2,3, Yi Zhang2, Bethney Bonilla-Herrera2
1Department of Family and Community Medicine, University of California, Davis, Sacramento, CA.
Kidney medicine
|February 2, 2026
概括
患有末期脏病 (ESKD) 的个人缺乏私人交通工具,不太可能过渡到家庭透析. 解决交通障碍对于改善家庭透析接入和减少错过治疗至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于患有末期脏病 (ESKD) 的个人来说,交通不安全是重要的障碍,需要经常进行透析治疗.
- 家庭透析模式通过减少旅行负担,为面临交通挑战的ESKD患者提供潜在的好处.
研究的目的:
- 调查ESKD患者的交通方式与过渡到家庭透析之间的关联.
- 确定交通不安全是否会影响获得家庭透析治疗的机会.
主要方法:
- 在中心内进行血液透析 (HD) 的ESKD患者的回顾性队列研究.
- 交通方式分为私人 (自己/朋友/家人) 和非私人 (医疗补助NEMT,准运输,公共交通等). ) 的情况.
- 用于估计家庭透析过渡的发病率比率的日志双项回归模型.
主要成果:
- 缺乏私人交通工具的个体过渡到家庭透析的可能性明显较小.
- 与私人相比,非私人运输群体在家庭透析过渡的调整后发病率比率在非私人运输群体中低47%-58%.
- 这种差异在各种非私人运输方式中很明显,包括医疗补助和准运输.
结论:
- 交通不安全是ESKD患者采用家庭透析的重要障碍.
- 以解决交通障碍为目标的干预措施可能会改善家庭透析的普及率,并减少错过的治疗.
- 进一步的研究应该探索护理人员数据,并实施全面的运输评估.
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