Quarello F, Bossi P, Pacitti A, Bosticardo G M, Belardi P, Roccatello D, Aprato A, Boero R, Basolo B, Berto M, Sancipriano G P, Piccoli G
Arch Sci Med (Torino). 1981 Oct-Dec;138(4):533-42.
The Piedmont planning for the prevention and treatment of chronic uremia started in 1976, with the purpose to extending full treatment of the whole region, through the development of home and self care dialysis and intensive use of hospital short dialysis. Hospital dialysis would be reserved either for new treatments or complicated or uncooperative patients. Thank to an intensive exploitation of the existing hospital centers, a 68.7% increment in the number of treated patients was achieved and costs were kept down to a limited acceptable range. With the development of home and self care dialysis, 27% of the patients were located in out-of-hospital centers, and 17% at home. The Piedmont planning concerned itself with the patients' data collected by the Regional Registry under the following items: a) characteristics of dialysis population; b) the present modes of treatment; c) the number of patients apt to varying treatments and renal transplantation; d) the epidemiology of uremia causing nephropathies. At the present time results are only preliminary. Nevertheless, the first observations showed a long and difficult work with good possibilities of success for computerized facilities in the field of dialysis, particularly in respect to regional areas which in the reformed Health Service are now considered to be operating as autonomous.
皮埃蒙特地区慢性尿毒症防治规划始于1976年，目的是通过发展家庭和自我护理透析以及充分利用医院短期透析，为整个地区提供全面治疗。医院透析将仅用于新治疗或复杂或不合作的患者。由于对现有医院中心的充分利用，治疗患者数量增加了68.7%，成本也保持在有限的可接受范围内。随着家庭和自我护理透析的发展，27%的患者在院外中心接受治疗，17%的患者在家中接受治疗。皮埃蒙特规划关注地区登记处收集的患者数据，包括以下项目：a）透析人群特征；b）当前治疗方式；c）适合不同治疗和肾移植的患者数量；d）导致肾病的尿毒症流行病学。目前结果只是初步的。然而，初步观察表明，这项长期而艰巨的工作在透析领域的计算机化设施方面有取得成功的良好可能性，特别是对于改革后的卫生服务中现在被视为自主运作的地区而言。
