Non sibi sed omnibus: Chronic Dialysis Care through a Stakeholder Lens.

IF 1.8 3区医学 Q3 HEMATOLOGY

Blood Purification Pub Date : 2025-07-24 DOI:10.1159/000547615

José A Moura-Neto

引用次数: 0

Abstract

Since its inception in the 1960s, chronic dialysis has undergone substantial technical evolution. Today, with over 4 million patients on renal replacement therapy worldwide, dialysis has become both a critical public health concern and a structured sector within healthcare economies. Beyond clinical innovation, a silent revolution has reshaped how dialysis units are - or should be - managed: the transition from a shareholder-centered model to one that should embrace a broader stakeholder perspective. This article explores this paradigm shift, proposes a theoretical framework for stakeholder-based dialysis unit management, and discusses its ethical and operational implications in contemporary healthcare.

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非sibi综合：通过利益相关者的镜头慢性透析护理。

自20世纪60年代开始以来，慢性透析经历了实质性的技术发展。今天，全世界有超过400万患者接受肾脏替代治疗，透析已成为一个重要的公共卫生问题，也是医疗保健经济体中的一个结构性部门。除了临床创新，一场无声的革命已经重塑了透析单位的管理方式：从以股东为中心的模式转变为应该拥抱更广泛的利益相关者视角的模式。本文探讨了这种范式转变，提出了一个基于利益相关者的透析单位管理的理论框架，并讨论了其在当代医疗保健中的伦理和操作意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Blood Purification 医学-泌尿学与肾脏学

CiteScore

5.80

自引率

3.30%

发文量

审稿时长

6-12 weeks

期刊介绍： Practical information on hemodialysis, hemofiltration, peritoneal dialysis and apheresis is featured in this journal. Recognizing the critical importance of equipment and procedures, particular emphasis has been placed on reports, drawn from a wide range of fields, describing technical advances and improvements in methodology. Papers reflect the search for cost-effective solutions which increase not only patient survival but also patient comfort and disease improvement through prevention or correction of undesirable effects. Advances in vascular access and blood anticoagulation, problems associated with exposure of blood to foreign surfaces and acute-care nephrology, including continuous therapies, also receive attention. Nephrologists, internists, intensivists and hospital staff involved in dialysis, apheresis and immunoadsorption for acute and chronic solid organ failure will find this journal useful and informative. ''Blood Purification'' also serves as a platform for multidisciplinary experiences involving nephrologists, cardiologists and critical care physicians in order to expand the level of interaction between different disciplines and specialities.