[Self-treatment at home for hemophiliacs].

This study reviews the international literature on the efficacy of home self treatment for severe hemophiliacs. It is also based on a survey of the capacity of hemophilia network centers to reach their target clientele. Home self-treatment is largely established in industrialized countries. It has been appreciated by hemophiliacs, particularly for the increased autonomy and quality of life generated. Hemophilia centers give them access to professionals who have developed a great expertise in this pathology. In Québec, the vast majority of severely affected type A hemophiliacs are registered with a comprehensive care center for hemophilia. Very few hemophiliacs are still being treated exclusively in hospitals.