Bello Aminu K, Johnson David W, Feehally John, Harris David, Jindal Kailash, Lunney Meaghan, Okpechi Ikechi G, Salako Babatunde L, Wiebe Natasha, Ye Feng, Tonelli Marcello, Levin Adeera
Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Centre for Kidney Disease Research, University of Queensland at Princess Alexandra Hospital, Brisbane, Australia.
Kidney Int Suppl (2011). 2017 Oct;7(2):145-153. doi: 10.1016/j.kisu.2017.08.001. Epub 2017 Sep 20.
There has been considerable effort within individual countries to improve the care of patients with kidney disease. There has been no concerted attempt to summarize these efforts, and therefore little is known about structuring health systems to facilitate acute kidney injury and chronic kidney disease (CKD) care and integration with national and international noncommunicable disease strategies. As part of the "Closing the Gaps Initiative," the International Society of Nephrology will conduct for the first time a survey of the current state of global kidney care covering both acute kidney injury and CKD and present the results in a Global Kidney Health Atlas. Data will be collected via an online questionnaire and targeted at national nephrology societies, policymakers, and consumer organizations. Individual country information will be provided by at least 3 stakeholders. The Global Kidney Health Atlas will provide concise, relevant, and synthesized information on the delivery of care across different health systems to facilitate understanding of performance variations over time and between countries. First, it will provide an overview of existing CKD care policy and context in the health care system. Second, it will provide an overview of how CKD care is organized in individual countries and a description of relevant CKD epidemiology between countries and regions, focusing on elements that are most germane to service delivery and policy development. Finally, synthesis, comparison, and analysis of individual country/regional data will be provided as a platform for recommendations to policymakers, practitioners, and researchers.
各个国家都付出了巨大努力来改善肾病患者的护理。但目前尚未有协调一致的行动来总结这些努力,因此对于构建卫生系统以促进急性肾损伤和慢性肾病(CKD)护理并使其与国家和国际非传染性疾病战略相结合的情况,人们了解甚少。作为“缩小差距倡议”的一部分,国际肾脏病学会将首次对涵盖急性肾损伤和CKD的全球肾脏护理现状进行调查,并在《全球肾脏健康地图集》中公布结果。数据将通过在线问卷收集,目标对象是各国肾脏病学会、政策制定者和消费者组织。每个国家的信息将由至少3个利益相关方提供。《全球肾脏健康地图集》将提供关于不同卫生系统中护理服务的简明、相关且综合的信息,以促进对不同时期和不同国家间绩效差异的理解。首先,它将概述医疗保健系统中现有的CKD护理政策和背景。其次,它将概述各个国家如何组织CKD护理,并描述国家和地区之间相关的CKD流行病学情况,重点关注与服务提供和政策制定最相关的要素。最后,将提供对各个国家/地区数据的综合、比较和分析,作为向政策制定者、从业者和研究人员提出建议的平台。