尼日利亚的慢性肾脏病：对江户州确诊病例医疗保健空间可及性的评估

Oviasu Osaretin, Rigby Janette E, Ballas Dimitris

Centre for Health and Population Sciences, Hull York Medical School, University of Hull , UK.

Department of Geography, National University of Ireland Maynooth , Co Kildare, Ireland.

J Public Health Afr. 2015 May 13;6(1):394. doi: 10.4081/jphia.2015.394. eCollection 2015 Mar 31.

Chronic kidney disease (CKD) is a growing problem in Nigeria, presenting challenges to the nation's health and economy. This study evaluates the accessibility to healthcare in Edo State of CKD patients diagnosed between 2006 and 2009. Using cost analysis techniques within a geographical information system, an estimated travel time to the hospital was used to examine the spatial accessibility of diagnosed patients to available CKD healthcare in the state. The results from the study indicated that although there was an annual rise in the number of diagnosed cases, there were no significant changes in the proportion of patients that were diagnosed at the last stage of CKD. However, there were indications that the travel time to the hospital for CKD treatment might be a contributing factor to the number of diagnosed CKD cases. This implies that the current structure for CKD management within the state might not be adequate.

慢性肾脏病（CKD）在尼日利亚正成为一个日益严重的问题，给该国的健康和经济带来挑战。本研究评估了2006年至2009年间在江户州被诊断为CKD的患者获得医疗服务的情况。利用地理信息系统中的成本分析技术，通过估计前往医院的时间来考察该州已确诊患者获得现有CKD医疗服务的空间可达性。研究结果表明，尽管确诊病例数逐年上升，但在CKD晚期被诊断出的患者比例没有显著变化。然而，有迹象表明，前往医院接受CKD治疗的时间可能是导致CKD确诊病例数的一个因素。这意味着该州目前的CKD管理结构可能并不充分。