国际肾脏病学会非洲地区肾衰竭管理能力:2023 年国际肾脏病学会全球肾脏地图集(ISN-GKHA)报告

IF 19.3 2区 医学 Q1 UROLOGY & NEPHROLOGY Kidney International Supplements Pub Date : 2024-04-01 DOI:10.1016/j.kisu.2024.01.002
Elliot Koranteng Tannor , Bianca Davidson , Yannick Nlandu , Peace Bagasha , Workagegnehu Hailu Bilchut , M. Razeen Davids , Hassane M. Diongole , Udeme E. Ekrikpo , Ehab O.A. Hafiz , Kwaifa Salihu Ibrahim , Robert Kalyesubula , Aisha M. Nalado , Timothy O. Olanrewaju , Ugochi Chika Onu , Nikhil Pereira-Kamath , Aminu Muhammad Sakajiki , Mohamed Salah , Lloyd Vincent , Silvia Arruebo , Aminu K. Bello , Deenaz Zaidi
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引用次数: 0

摘要

在非洲,慢性肾病的负担和相关的肾衰竭风险正在增加。由于医疗系统和医疗基础设施的限制,慢性肾脏病患者的管理面临诸多挑战。根据国际肾脏病学会全球肾脏健康地图集的第三次迭代,我们采用世界卫生组织的卫生系统构件描述了 ISN 非洲地区的肾脏护理现状。我们发现,政府的医疗支出有限,这反过来又导致肾病患者在接受服务时的自付费用增加。整个非洲的医护人员队伍并不理想,而训练有素的医护人员大量涌出非洲大陆又进一步加剧了这一问题。由于医疗基础设施的限制,用于非透析慢性肾病患者管理和肾脏替代疗法的医疗产品、技术和服务非常稀缺,而且分布不均。与世界其他地区相比,非洲很少有肾脏登记处和倡导肾脏疾病管理的团体。确保改善非洲肾脏护理的战略包括:重点关注慢性肾脏病的预防和早期发现,提高现有医疗队伍的效率(如多学科团队、任务替代和远程医疗),增加肾脏护理资金,提供高质量的最新健康信息数据,以及改善所有肾衰竭患者获得高质量治疗(肾替代疗法或保守的肾脏管理)的机会、可负担性和提供。
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Capacity for the management of kidney failure in the International Society of Nephrology Africa region: report from the 2023 ISN Global Kidney Atlas (ISN-GKHA)

The burden of chronic kidney disease and associated risk of kidney failure are increasing in Africa. The management of people with chronic kidney disease is fraught with numerous challenges because of limitations in health systems and infrastructures for care delivery. From the third iteration of the International Society of Nephrology Global Kidney Health Atlas, we describe the status of kidney care in the ISN Africa region using the World Health Organization building blocks for health systems. We identified limited government health spending, which in turn led to increased out-of-pocket costs for people with kidney disease at the point of service delivery. The health care workforce across Africa was suboptimal and further challenged by the exodus of trained health care workers out of the continent. Medical products, technologies, and services for the management of people with nondialysis chronic kidney disease and for kidney replacement therapy were scarce due to limitations in health infrastructure, which was inequitably distributed. There were few kidney registries and advocacy groups championing kidney disease management in Africa compared with the rest of the world. Strategies for ensuring improved kidney care in Africa include focusing on chronic kidney disease prevention and early detection, improving the effectiveness of the available health care workforce (e.g., multidisciplinary teams, task substitution, and telemedicine), augmenting kidney care financing, providing quality, up-to-date health information data, and improving the accessibility, affordability, and delivery of quality treatment (kidney replacement therapy or conservative kidney management) for all people living with kidney failure.

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来源期刊
Kidney International Supplements
Kidney International Supplements UROLOGY & NEPHROLOGY-
CiteScore
11.80
自引率
0.00%
发文量
13
期刊介绍: Kidney International Supplements is published on behalf of the International Society of Nephrology (ISN) and comes complimentary as part of a subscription to Kidney International. Kidney International Supplements is a peer-reviewed journal whose focus is sponsored, topical content of interest to the nephrology community.
期刊最新文献
Editorial Board Table of Contents Variations in kidney care management and access: regional assessments of the 2023 International Society of Nephrology Global Kidney Health Atlas (ISN-GKHA) Update on variability in organization and structures of kidney care across world regions Capacity for the management of kidney failure in the International Society of Nephrology Newly Independent States and Russia region: report from the 2023 ISN Global Kidney Health Atlas (ISN-GKHA)
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