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瑞典终末期肾病患者医疗护理的资金筹集与组织安排

The financing and organization of medical care for patients with end-stage renal disease in Sweden.

作者信息

Wikström Björn, Fored Michael, Eichleay Margaret A, Jacobson Stefan H

机构信息

Renal section, Department of Medicine, University Hospital, Uppsala, Sweden.

出版信息

Int J Health Care Finance Econ. 2007 Dec;7(4):269-81. doi: 10.1007/s10754-007-9014-y.

DOI:10.1007/s10754-007-9014-y
PMID:17657602
Abstract

The total health care expenditure as a percentage of the gross domestic product in Sweden is 9.2%, and health care is funded by global budgets almost entirely through general taxation. The prevalence rate of end-stage renal disease (ESRD) in Sweden is 756 per million. Fifty-two percent of ESRD patients have a functioning transplant. Almost all ESRD treatment facilities are public. Compared with other Dialysis Outcomes and Practice Patterns Study (DOPPS) countries, the salaries for both nephrologists and professional dialysis unit staff are low. Sweden's high cost per ESRD patient, relative to other DOPPS countries, may be a result of expensive and frequent hospitalizations and aggressive anemia treatment strategies.

摘要

瑞典的医疗保健总支出占国内生产总值的比例为9.2%,医疗保健几乎完全通过一般税收由全球预算提供资金。瑞典终末期肾病(ESRD)的患病率为每百万人口756例。52%的ESRD患者有功能正常的移植器官。几乎所有的ESRD治疗机构都是公立的。与其他透析结局和实践模式研究(DOPPS)国家相比,肾病科医生和专业透析单位工作人员的工资都很低。相对于其他DOPPS国家,瑞典每名ESRD患者的成本较高,这可能是由于昂贵且频繁的住院治疗以及积极的贫血治疗策略所致。

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本文引用的文献

1
International study of health care organization and financing: development of renal replacement therapy in Germany.国际医疗保健组织与融资研究:德国肾脏替代治疗的发展
Int J Health Care Finance Econ. 2007 Sep;7(2-3):185-200. doi: 10.1007/s10754-007-9020-0.
2
International Study of Health Care Organization and Financing for end-stage renal disease in France.法国终末期肾病医疗保健组织与融资的国际研究。
Int J Health Care Finance Econ. 2007 Sep;7(2-3):171-83. doi: 10.1007/s10754-007-9025-8.
3
International Study of Health Care Organization and Financing of renal services in England and Wales.
社会固化方法的伦理问题及活体子宫移植-体外受精案例
Med Health Care Philos. 2019 Dec;22(4):557-571. doi: 10.1007/s11019-019-09891-w.
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Are There Inequities in Treatment of End-Stage Renal Disease in Sweden? A Longitudinal Register-Based Study on Socioeconomic Status-Related Access to Kidney Transplantation.瑞典终末期肾病治疗存在不平等现象吗?一项基于纵向登记的社会经济地位与肾移植可及性的研究。
Int J Environ Res Public Health. 2017 Jan 27;14(2):119. doi: 10.3390/ijerph14020119.
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Clin Kidney J. 2013 Jun;6(3):352-7. doi: 10.1093/ckj/sft032.
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Mortality in chronic kidney disease and renal replacement therapy: a population-based cohort study.慢性肾病及肾脏替代治疗中的死亡率:一项基于人群的队列研究。
BMJ Open. 2014 Feb 18;4(2):e004251. doi: 10.1136/bmjopen-2013-004251.
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Compensated living kidney donation: a plea for pragmatism.有偿活体肾捐献:呼吁务实。
Health Care Anal. 2010 Mar;18(1):85-101. doi: 10.1007/s10728-008-0110-z. Epub 2009 Jan 29.
10
International study of health care organization and financing: development of renal replacement therapy in Germany.国际医疗保健组织与融资研究:德国肾脏替代治疗的发展
Int J Health Care Finance Econ. 2007 Sep;7(2-3):185-200. doi: 10.1007/s10754-007-9020-0.
英格兰和威尔士肾脏服务的医疗保健组织与融资国际研究
Int J Health Care Finance Econ. 2007 Dec;7(4):283-99. doi: 10.1007/s10754-007-9015-x.
4
End-stage renal disease and economic incentives: the International Study of Health Care Organization and Financing (ISHCOF).终末期肾病与经济激励措施:医疗保健组织与融资国际研究(ISHCOF)
Int J Health Care Finance Econ. 2007 Sep;7(2-3):73-111. doi: 10.1007/s10754-007-9024-9.
5
International Study of Health Care Organization and Financing for renal replacement therapy in Italy: an evolving reality.意大利肾脏替代治疗的医疗保健组织与融资国际研究:一个不断演变的现实。
Int J Health Care Finance Econ. 2007 Sep;7(2-3):201-15. doi: 10.1007/s10754-007-9016-9.
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Belgium's mixed private/public health care system and its impact on the cost of end-stage renal disease.比利时公私混合的医疗保健系统及其对终末期肾病治疗费用的影响。
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Int J Health Care Finance Econ. 2007 Dec;7(4):301-18. doi: 10.1007/s10754-007-9019-6.
9
The organization and financing of end-stage renal disease in Spain.西班牙终末期肾病的组织与融资
Int J Health Care Finance Econ. 2007 Dec;7(4):253-67. doi: 10.1007/s10754-007-9021-z.
10
Anemia management and outcomes from 12 countries in the Dialysis Outcomes and Practice Patterns Study (DOPPS).透析预后与实践模式研究(DOPPS)中12个国家的贫血管理及预后
Am J Kidney Dis. 2004 Jul;44(1):94-111. doi: 10.1053/j.ajkd.2004.03.023.