家庭透析的增长：安大略肾脏网络家庭透析计划 2012-2019。
Growing home dialysis: The Ontario Renal Network Home Dialysis Initiative 2012-2019.
机构信息
Ontario Renal Network, 573450Ontario Health, Toronto, Ontario, Canada.
Division of Nephrology, Department of Medicine, Western University, London, Ontario, Canada.
出版信息
Perit Dial Int. 2021 Sep;41(5):441-452. doi: 10.1177/08968608211012805. Epub 2021 May 10.
The Ontario Renal Network (ORN), a provincial government agency in Ontario, Canada, launched an initiative in 2012 to increase home dialysis use province-wide. The initiative included a new modality-based funding formula, a standard mandatory informatics system, targets for prevalent home dialysis rates, the development of a 'network' of renal programmes with commitment to home dialysis and a culture of accountability with frequent meetings between ORN and each renal programme leadership to review their results. It also included funding of home dialysis coordinators, encouragement and funding of assisted peritoneal dialysis (PD), and support for catheter insertion and urgent start PD. Between 2012 and 2017, home dialysis use rose from 21.9% to 26.5% and then between 2017 and 2019 stabilised at 26% to 26.5%. Over 7 years, the absolute number of people on home dialysis increased 40% from 2222 to 3105, while the number on facility haemodialysis grew 11% from 7935 to 8767. PD prevalence rose from 16.6% to 20.9%, a relative increase of 25%. The initiative showed that a sustained multifaceted approach can increase home dialysis utilisation.
加拿大安大略省肾脏网络（ORN）是安大略省政府机构，于 2012 年启动了一项计划，旨在增加全省范围内的家庭透析使用。该计划包括基于新模式的资助方案、标准强制信息系统、流行家庭透析率目标、承诺开展家庭透析的肾脏项目“网络”的发展，以及具有问责制文化，ORN 与每个肾脏项目领导层之间定期开会，以审查其结果。它还包括家庭透析协调员的资金、对辅助腹膜透析（PD）的鼓励和资助，以及对导管插入和紧急开始 PD 的支持。在 2012 年至 2017 年间，家庭透析的使用率从 21.9%上升到 26.5%，然后在 2017 年至 2019 年稳定在 26%至 26.5%。在 7 年期间，接受家庭透析的人数绝对增加了 40%，从 2222 人增加到 3105 人，而接受设施血液透析的人数增加了 11%，从 7935 人增加到 8767 人。PD 的流行率从 16.6%上升到 20.9%，相对增加了 25%。该计划表明，持续的多方面方法可以增加家庭透析的使用率。
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