Service de néphrologie, centre hospitalier Henri-Duffaut, 305, rue Raoul-Follereau, 84902 Avignon cedex 9, France.
Nephrol Ther. 2017 Apr;13(2):105-126. doi: 10.1016/j.nephro.2016.06.008. Epub 2017 Mar 8.
The report on dialysis in France in 2016 from the French Speaking Society of Nephrology Dialysis and Transplantation (SFNDT) provides an exhaustive and documented inventory on dialysis in France. It underlines the organizations that are important in 2016 to maintain a high quality dialysis. Several measures are proposed to maintain and improve the care of dialysis in France: (1) The regulation of dialysis treatment in France must be maintained; (2) a burden of care indicator is proposed to ensure that patients requiring the most care are treated in the centers. Proposals are also made to stimulate peritoneal dialysis offers, (3) to improve the calculation of the cost of dialysis and warn against lower reimbursement rates of dialysis, (4) to reduce transport costs by minimizing transport by ambulance (5). The SFNDT recalls recent recommendations concerning access to the renal transplant waiting list, are recalled; (6) as well as recommendations that require waiting until clinical signs are present to start dialysis (7). The SFNDT makes the proposal to set up advanced renal failure units. These units are expected to develop care that is not supported today: consultation with a nurse, a dietician, a social worker or psychologist, palliative care, and coordination (8). Finally, the financial and human resources for pediatric dialysis should be maintained.
法语国家肾脏透析与移植学会（SFNDT）发布的2016年法国透析报告提供了一份详尽且有文献记载的法国透析情况汇总。它强调了2016年对维持高质量透析至关重要的组织。为维持和改善法国的透析治疗提出了多项措施：（1）必须维持法国透析治疗的监管；（2）提出了护理负担指标，以确保需要最多护理的患者在各中心接受治疗。还提出了一些建议来刺激腹膜透析服务的提供，（3）改进透析成本的计算，并警惕透析报销率降低的情况，（4）通过尽量减少救护车运输来降低运输成本（5）。SFNDT回顾了近期关于进入肾脏移植等待名单的建议，（6）以及要求等到出现临床症状才开始透析的建议（7）。SFNDT提议设立晚期肾衰竭病房。预计这些病房将开展目前未得到支持的护理工作：与护士、营养师、社会工作者或心理学家的会诊、姑息治疗以及协调工作（8）。最后，应维持儿科透析的资金和人力资源。
