医疗可及性对透析患者临床预后的影响
Effect of medical accessibility on clinical prognosis in dialysis patients
王清华 1董捷1
作者信息
- 1. 北京大学第一医院肾内科 北京大学肾脏病研究所 卫健委肾脏疾病重点实验室 教育部慢性肾脏病防治重点实验室 中国医学科学院免疫介导肾病诊治创新单元,北京 100034
- 折叠
摘要
医疗可及性反映了患者实际使用医疗服务的能力,是从供给端和需求端两个角度评价医疗服务质量的重要指标.透析患者中普遍存在医疗可及性不足的问题,对临床预后产生不利影响.近年来,中国腹膜透析患者数量激增,医疗可及性不平等问题尤为突出.然而,腹膜透析医疗可及性与临床预后的关系尚不确定,需要进一步研究,从而为制定相关卫生政策提供依据.该文综述了医疗可及性的概念、研究指标以及医疗可及性对透析人群临床预后的影响,以提高社会对医疗可及性不充分问题的重视,改善透析患者的治疗质量和长期生存率.
Abstract
Medical accessibility reflects the actual ability of patients to use healthcare services,and is an important indicator for evaluating the quality of healthcare services from both the supply and demand perspectives.Inadequate medical accessibility is prevalent in dialysis patients and adversely affects clinical prognosis.In recent years,the number of peritoneal dialysis patients in China has increased remarkably,and the inequality of medical accessibility is particularly serious.However,the relationship between medical accessibility and clinical prognosis of peritoneal dialysis is still uncertain,and requires further study to provide evidence for formulating relevant health policies.This article reviews the concept and research indicators of medical accessibility,and the influence of medical accessibility on the clinical prognosis,to raise the awareness of medical accessibility inequality and help to improve care quality and survival rate in dialysis patients.
关键词
透析/预后/卫生服务易得程度/医疗可及性/终末期肾病Key words
Dialysis/Prognosis/Health services accessibility/Medical accessibility/Kidney failure引用本文复制引用
基金项目
首都卫生发展科研项目(2020-2-4079)
北京大学第一医院创新转化孵育基金(2022CX09)
北京大学第一医院高质量临床研究专项(2022CR82)
中国医学科学院医学与健康科技创新工程项目(2019-I2M-5-046)
出版年
2024
NETL
NSTL
万方数据