Satellite Healthcare, San Jose, California.
Division of Nephrology, Stanford University, Palo Alto, California.
Clin J Am Soc Nephrol. 2023 Nov 1;18(11):1490-1496. doi: 10.2215/CJN.0000000000000284. Epub 2023 Aug 21.
Home dialysis utilization has been growing in the United States over the past decade but still lags behind similar socioeconomic nations. More than half of dialysis facilities in the United States either are not licensed to offer home dialysis or, despite a license, have no patients dialyzing at home, and many programs have a relatively small census. Multiple stakeholders, including patients, health care providers, and payers, have identified increased home dialysis use as an important goal. To realize these goals, nephrologists and kidney care professionals need a sound understanding of the key considerations in home dialysis center operation. In this review, we outline the core domains required to set up and operate a home dialysis program in the United States now and in the future.
在过去的十年中，美国的家庭透析利用率一直在增长，但仍落后于类似社会经济的国家。美国超过一半的透析中心要么没有提供家庭透析的许可，要么尽管有许可证，但没有患者在家中进行透析，而且许多项目的患者人数相对较少。包括患者、医疗保健提供者和支付方在内的多个利益相关者都将增加家庭透析的使用视为一个重要目标。为了实现这些目标，肾脏病专家和肾脏护理专业人员需要对家庭透析中心运营的关键考虑因素有一个清晰的了解。在这篇综述中，我们概述了现在和未来在美国建立和运营家庭透析项目所需的核心领域。
