摘要
目的:从技术的提供和使用两方面分析腹膜透析(腹透)和血液透析(血透)两种常见终末期肾病治疗技术在我国应用的公平性并探讨相关影响因素。方法:通过结合问卷调查和访谈等定性研究方法和数据收集整理等定量研究方法开展回顾性队列研究。结果:腹透和血透患者生存质量近似,但腹透患者治疗不充分现象较血透普遍,64.9%因经济原因减少治疗次数或透析量,同时腹透患者疾病经济负担较重,灾难性支出发生率为74.1%,大于血透患者(60.1%)。结论:认知、资源、经济、管理和政策五方面因素严重影响腹透技术利用的公平性。
Objective： To analyze equity of use of peritoneal dialysis （PD） and hemodialysis （HD） based on results of a cohort study and explore possible influencing factors. Methods： Combining qualitative methods such as interviews and questionnaires and quantitative method. Results： PD and HD patients enjoyed similar quality of life. However, more PD patients had inadequate dialysis, with 64.9% due to economic reasons, and PD patients saw a higher rate of catastrophic spending （74.1%） than HD patients （60.1%）. Conclusion： Equity of use of PD and HD has been greatly influenced by doctors＇ and patients＇awareness and knowledge, resource availability and allocation, existence of sound management measures and favorable policy.
出处
《中国卫生经济》
北大核心
2012年第12期75-77,共3页
Chinese Health Economics
基金
卫生部终末期肾病(ESRD)透析治疗评估及支付方式研究项目
关键词
终末期肾病
血液透析
腹膜透析
公平性
end-stage renal disease
hemodialysis
peritoneal dialysis
equity
