Dialysis funding, eligibility, procurement, and protocols in low- and middle-income settings: results from the International Society of Nephrology collection survey

IF 19.3 2区 医学 Q1 UROLOGY & NEPHROLOGY
Valerie A. Luyckx , Brendan Smyth , David C.H. Harris , Roberto Pecoits-Filho
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引用次数: 18

Abstract

Dialysis provisions and end-stage kidney disease (ESKD) care represents an important challenge, particularly in low-resource settings. The purpose of this project was to survey nephrologists from low- and lower middle-income countries about their experiences in the following domains: (i) Dialysis funding and eligibility; (ii) dialysis-procurement mechanisms; (iii) clinical protocols for dialysis; (iv) monitoring of dialysis outcomes; and (v) barriers to care for ESKD. One hundred and twenty responses from 31 low- and middle-income countries, from 8 ISN regions, were included in the analysis. When stratified by World Bank country income status, responses were received from 7 low-income countries, 12 lower middle-income countries, and 12 upper middle-income countries. Eighty-eight documents from 18 countries were uploaded, including country or institutional guidelines, protocols, and standard operating procedures. The International Society of Nephrology aims to develop a set of guidance documents that put forward a considered approach to dialysis provisions and ESKD care within resource limitations. As an initial step in this project, local practitioners from low-resource settings were surveyed about their experiences with dialysis funding, eligibility, procurement and their use of guidance documents, and how practices and procedures may have been developed with adaptations to the local circumstances. In this manuscript we describe the methodology and the main findings from the survey using an integrated quantitative and qualitative approach.

低收入和中等收入国家的透析资金、资格、采购和方案:来自国际肾脏学会收集调查的结果
透析提供和终末期肾病(ESKD)护理是一个重要的挑战,特别是在资源匮乏的环境中。该项目的目的是调查来自低收入和中低收入国家的肾病学家在以下领域的经验:(i)透析资金和资格;透析采购机制;(iii)透析的临床方案;(iv)监测透析结果;(v) ESKD护理的障碍。来自31个低收入和中等收入国家的120份答复被纳入分析。在按世界银行国家收入状况分层时,收到了来自7个低收入国家、12个中低收入国家和12个中高收入国家的回复。来自18个国家的88份文件被上传,包括国家或机构的指导方针、协议和标准操作程序。国际肾脏病学会旨在制定一套指导文件,在资源有限的情况下提出透析提供和ESKD护理的考虑方法。作为该项目的第一步,对来自低资源环境的当地从业人员进行了调查,了解他们在透析资金、资格、采购和指导文件使用方面的经验,以及如何制定适应当地情况的做法和程序。在这份手稿中,我们描述的方法和主要发现从调查使用综合定量和定性的方法。
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来源期刊
Kidney International Supplements
Kidney International Supplements UROLOGY & NEPHROLOGY-
CiteScore
11.80
自引率
0.00%
发文量
13
期刊介绍: Kidney International Supplements is published on behalf of the International Society of Nephrology (ISN) and comes complimentary as part of a subscription to Kidney International. Kidney International Supplements is a peer-reviewed journal whose focus is sponsored, topical content of interest to the nephrology community.
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