Trinh Emilie, Chan Christopher T
Division of Nephrology, University Health Network, Toronto, Ontario, Canada.
Semin Dial. 2017 Mar;30(2):174-180. doi: 10.1111/sdi.12572. Epub 2017 Jan 8.
Home hemodialysis (HD) was first introduced in the 1960s with a rapid increase in its use due to inability of dialysis units to accommodate patient demand. A sharp decline was subsequently seen with expanding outpatient dialysis facilities and changes in reimbursement policies. In the last decade, with emerging reports of benefits with home HD and more user-friendly equipment, there has been resurgence in home HD. However, home HD remains underutilized with considerable variations between and within countries. This paper will review the history of home HD, elaborate on its established benefits, identify some of the barriers in uptake of this modality and expand on potential strategies to overcome these barriers.
家庭血液透析（HD）于20世纪60年代首次引入，由于透析单位无法满足患者需求，其使用量迅速增加。随后，随着门诊透析设施的扩大和报销政策的变化，使用量急剧下降。在过去十年中，随着家庭血液透析益处的新报道以及设备更加用户友好，家庭血液透析再度兴起。然而，家庭血液透析的利用率仍然较低，国家之间和国家内部存在很大差异。本文将回顾家庭血液透析的历史，阐述其既定益处，确定采用这种方式的一些障碍，并详细说明克服这些障碍的潜在策略。
