• 作者：B&eacute ; n&eacute ; dicte Devictor^a ; ^{benedicte.devictor@univmed.fr} ; ^{bene.devictor@gmail.com} ; St&eacute ; phanie Gentile^a ; Jean-Christophe Delaroziè ; re^a ; Anne-Claire Durand^a ; Philippe Brunet^b ; Yvon Berland^b ; Roland Sambuc^a ; les n&eacute ; phrologues r&eacute ; f&eacute ; rents du r&eacute ; seau REIN PACA¹
• 关键词：Temps de transport ; Patients h&eacute ; modialys&eacute ; s ; R&eacute ; glementation ; Offre d&rsquo ; h&eacute ; modialyse ; &Eacute ; valuation
• 刊名：N&eacute ; phrologie Th&eacute ; rapeutique
• 出版年：2012
• 期刊代码：227_17697255
• 类别：med
• 出版时间：June, 2012
• 卷：8
• 期：3
• 页码：156-162
• 文件大小：518 K

Objective

We analysed the trend of travel-times for haemodialysis patients in the Provence-Alpes-C么te-d鈥橝zur region between 1995 and 2008 in relation with the reforms concerning the health care provision of haemodialysis.

Methods

We conducted this study using data from three cross sectional surveys for 1995, 1999 and 2002, including all dialysis patients, and from the Renal Epidemiology and Information Network register for 2008. The data focuses on sociodemographic, medical characteristics and travel-times for haemodialysis patients.

Results

The number of haemodialysis patients increased from 1807 patients in 1995 to 3141 in 2008. The travel-time has decreased steadily between 1995 and 2008 (18.2 min versus 15, P < 0.0001). The number of patients with a travel-time more than 45 min decreased from 7.2 to 3.5%between 1995 and 2008. The number of dialysis facilities has increased steadily between 1995 and 2008.

Conclusion

The favorable trend in the health care provision has resulted in an improvement of accessibility by reducing travel-times.