Department of Medicine, Division of Nephrology, Queen's University, Kingston, Ontario, Canada.
Semin Nephrol. 2010 Jan;30(1):12-8. doi: 10.1016/j.semnephrol.2009.10.014.
Canada is a geographically diverse and multicultural country where health care access is, in theory, universal. Despite this principle of universality, evidence suggests that disparities exist in several areas of renal health in Canada. Aboriginal Canadians suffer from higher rates of dialysis initiation and poorer access to renal transplant compared with whites. Similar disparities in access to renal transplant exist for other ethnic minorities including East and Indo Asians and African Canadians. Interestingly, in Canada, East and Indo Asian Canadians have higher rates of peritoneal dialysis uptake than whites initiating dialysis, and significantly better survival on dialysis. Further research into these health disparities could improve access and outcomes in renal disease.
加拿大是一个地域多样、文化多元的国家，其医疗保健服务在理论上是普及的。尽管有这一普遍性原则，但有证据表明，加拿大在几个肾脏健康领域存在差异。与白人相比，加拿大原住民在开始透析和获得肾脏移植方面的机会更少。其他少数族裔，包括东亚和印度裔加拿大人和非裔加拿大人，在获得肾脏移植方面也存在类似的差异。有趣的是，在加拿大，开始透析的东亚和印度裔加拿大人接受腹膜透析的比例高于白人，而且在透析治疗中的存活率也显著更高。进一步研究这些健康差异可能会改善肾脏疾病的治疗效果。
