Organization of the specialized medical care in conditions of limited resources (military status) (on the example of the provision of nephrology aid in Ukraine)

MD Dmytro D. Ivanov
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Abstract

The paper considers the features of the provision of pediatric and adult nephrology medical care during martial law in Ukraine from February 2022 to May 2023. The influence of military stages on the nephrology care are presented, territorial zones during the conflict are highlighted, event tracks are shown. Separately, the activity of the Ukrainian Association of Nephrologists/Ukrainian Association of Pediatric Nephrologists, new opportunities for integrating nephrology into the system of medical knowledge are considered. Along with the negative trends, positive results were revealed that made it possible to move forward in the system of specialized medical care, namely an increase in transplant activity, a wider use of “long” treatment regimens with rituximab, and the use of digital kidney biopsy. Statistical data, SWOT analysis at the stages of the military conflict are given, an analysis is presented for refugees who left for the European Union to receive kidney replacement therapy. The enormous role of humanitarian programs for maintaining the structure of nephrological care in Ukraine is emphasized. The accumulated experience is unique and can serve as material for the analysis of similar situations in the world in the future.
在资源有限(军事地位)的情况下组织专业医疗服务(以在乌克兰提供肾脏病学援助为例)
本文考虑了2022年2月至2023年5月乌克兰戒严令期间儿科和成人肾病医疗保健的特点。介绍了军事阶段对肾病护理的影响,强调了冲突期间的领土区域,显示了事件轨迹。另外,考虑到乌克兰肾病学家协会/乌克兰儿科肾病学家协会的活动,将肾病学纳入医学知识系统的新机会。在出现消极趋势的同时,也出现了积极的结果,使专科医疗保健系统得以向前发展,即移植活动的增加、利妥昔单抗“长期”治疗方案的更广泛使用以及数字肾活检的使用。统计数据,SWOT分析在军事冲突的各个阶段给出,分析提出了难民谁离开欧盟接受肾脏替代治疗。人道主义方案的巨大作用,以维持肾脏护理的结构在乌克兰被强调。积累的经验是独一无二的,可以作为今后分析世界上类似情况的材料。
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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