Quinn Robert R, Laupacis Andreas, Hux Janet E, Moineddin Rahim, Paterson Michael, Oliver Matthew J
Institute for Clinical Evaluative Sciences, Department of Medicine, University of Toronto.
Healthc Policy. 2009 May;4(4):e151-61.
Careful projections of the demand for dialysis services are important to assist healthcare planners in forecasting the need for equipment, facilities and personnel. We used time series techniques to model the historical incidence and prevalence counts and to forecast the predicted number of patients requiring dialysis in the province of Ontario to 2011. We showed that the incidence and prevalence of dialysis patients continues to grow rapidly. More importantly, traditional definitions of "chronic dialysis" capture only 52% of all incident patients and ignore the acute dialysis population. Projections about the need for dialysis services based on these definitions may result in underestimation of the resources required to care for the end-stage renal disease (ESRD) population.
准确预测透析服务需求对于协助医疗规划者预测设备、设施和人员需求至关重要。我们运用时间序列技术对历史发病率和患病率进行建模,并预测安大略省到2011年需要透析的患者预计数量。我们发现,透析患者的发病率和患病率持续快速增长。更重要的是,“慢性透析”的传统定义仅涵盖了所有新发病例患者的52%,而忽略了急性透析人群。基于这些定义对透析服务需求的预测可能会导致对终末期肾病(ESRD)人群护理所需资源的低估。