[秘鲁卫生部的肾病学家数量、血液透析服务及慢性肾脏病患病率趋势]
[Number of nephrologists, hemodialysis services, and prevalence trend of chronic kidney disease in the ministry of health of Peru].
作者信息
Herrera-Añazco Percy, Atamari-Anahui Noé, Flores-Benites Vladimir
机构信息
Unidad de Investigación para la Generación y Síntesis de Evidencias en Salud. Universidad San Ignacio de Loyola. Lima, Perú.
Fondo Intangible Solidario de Salud. Lima, Perú.
出版信息
Rev Peru Med Exp Salud Publica. 2019 Jan-Mar;36(1):62-67. doi: 10.17843/rpmesp.2019.361.4253. Epub 2019 May 13.
We conducted a descriptive and ecological study that evaluated the relationship between the prevalence trend of patients with chronic kidney disease (CKD), the number of nephrologists, and the number of hemodialysis services of the Ministry of Health (MINSA). The study was based on a secondary analysis of the care provided by MINSA, the Observatory of Human Resources in Health, and the hemodialysis services registered as Health Service Providers of the Intangible Health Solidarity Fund (FISSAL, in Spanish). The adjusted prevalence of CKD was found to have increased from 0.5 to 1.5 per 1,000 patients between 2010 and 2017. The regions with the greatest increase were Tumbes, Ucayali, and Piura. The number of nephrologists per 1,000 CKD patients decreased from 4.4 in 2010 to 1.9 in 2016; and the hemodialysis services contracted by FISSAL increased from 16 in 2012 to 74 in 2019.
我们开展了一项描述性和生态学研究，评估慢性肾脏病（CKD）患者的患病率趋势、肾病科医生数量以及卫生部（MINSA）的血液透析服务数量之间的关系。该研究基于对MINSA提供的医疗服务、卫生人力资源观察站以及注册为无形健康团结基金（FISSAL，西班牙语）卫生服务提供者的血液透析服务进行的二次分析。结果发现，2010年至2017年间，CKD的校正患病率从每1000名患者0.5例增至1.5例。增幅最大的地区是通贝斯、乌卡亚利和皮斯科。每1000名CKD患者中的肾病科医生数量从2010年的4.4名降至2016年的1.9名；FISSAL签约的血液透析服务从2012年的16项增至2019年的74项。
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