Nephrology Department, Hospital del Mar, Parc de Salut Mar, Barcelona, Spain.
ESIMar (Mar Nursing School), Parc de Salut Mar, Universitat Pompeu Fabra Affiliated, Barcelona, Spain.
BMC Health Serv Res. 2024 Jun 24;24(1):763. doi: 10.1186/s12913-024-11200-y.
The organisational care needs involved in accessing kidney transplant have not been described in the literature and therefore a detailed analysis thereof could help to establish a framework (including appropriate timing, investment, and costs) for the management of this population. The main objective of this study is to analyse the profile and care needs of kidney transplant candidates in a tertiary hospital and the direct costs of studying them.
A descriptive, cross-sectional study was conducted using data on a range of variables (sociodemographic and clinical characteristics, study duration, and investment in visits and supplementary tests) from 489 kidney transplant candidates evaluated in 2020.
The comorbidity index was high (> 4 in 64.3%), with a mean of 5.6 ± 2.4. Part of the study population had certain characteristics that could hinder their access a kidney transplant: physical dependence (9.4%), emotional distress (33.5%), non-adherent behaviours (25.2%), or language barriers (9.4%). The median study duration was 6.6[3.4;14] months. The ratio of required visits to patients was 5.97:1, meaning an investment of €237.10 per patient, and the ratio of supplementary tests to patients was 3.5:1, meaning an investment of €402.96 per patient.
The study population can be characterised as complex due to their profile and their investment in terms of time, visits, supplementary tests, and direct costs. Management based on our results involves designing work-adaptation strategies to the needs of the study population, which can lead to increased patient satisfaction, shorter waiting times, and reduced costs.
获取肾移植的组织护理需求尚未在文献中描述，因此对其进行详细分析可以帮助为该人群的管理建立一个框架（包括适当的时间、投资和成本）。本研究的主要目的是分析三级医院肾移植候选者的概况和护理需求以及对他们进行研究的直接成本。
采用描述性、横断面研究方法，对 2020 年评估的 489 例肾移植候选者的一系列变量（社会人口统计学和临床特征、研究持续时间以及就诊和补充检查的投资）的数据进行分析。
共病指数较高（>4 分者占 64.3%），平均为 5.6±2.4。部分研究人群具有可能阻碍其获得肾移植的某些特征：身体依赖（9.4%）、情绪困扰（33.5%）、不遵医嘱行为（25.2%）或语言障碍（9.4%）。中位研究持续时间为 6.6[3.4;14]个月。所需就诊次数与患者之比为 5.97:1，意味着每位患者的投资为 237.10 欧元，补充检查次数与患者之比为 3.5:1，意味着每位患者的投资为 402.96 欧元。
研究人群的特征及其在时间、就诊次数、补充检查和直接成本方面的投资使其具有复杂性。基于我们的研究结果进行管理包括设计适应研究人群需求的工作适应策略，这可以提高患者满意度、缩短等待时间和降低成本。
