Abstract: SA-PO773

Government Support in the Development of Hemodialysis in County Level Hospitals in China

Session Information

Category: Dialysis

  • 601 Standard Hemodialysis for ESRD

Authors

  • Liu, Hua, First Affiliated Hospital of Medical College of Xi'an Jiaotong University, Xi'an, China
  • Jiang, Hongli, Dialysis Center of First Affiliated Hospital of Medicine School, Xi?an Jiaotong University,, Xi'an,Shaanxi,, China
Background

In 2013, there were 88 hemodialysis center in Shaanxi province in China and all equipment and medical personnel could only meet the demand of about 22% ESRD patients. This paper will explore the role of government decision-making and financial support in the construction of hemodialysis center projects in county level hospitals in Shaanxi province in China after increasing investment in health care reform.

Methods

After 2013, the hemodialysis room construction project in county hospitals in Shaanxi province was carried out. Under the support of the government, we prepared the blood purification training materials and recorded teaching physicians and nurses in blood purification standard operating procedures, arranged 150 hours courses and 135 days clinical practice stage from 2013 to 2015 in four times. The effect of the training course of the projects and the status of the hemodialysis center in the county hospital of Shaanxi province were analyzed retrospectively.

Results

From the May 14, 2013 to June 30, 2015, we held four consecutive training classes, training a total of 827 doctors, nurses and technicians. After the implementation of this project, the number of dialysis rooms increased by leaps and boundsin Shaanxi provinc. By the end of December 31, 2016, there were 66 new county hospital hemodialysis room throughout 57 counties, and there were 2068 new dialysis patients registered in national dialysis registration system, far higher than the previous year increasing level (more than 30%), also higher than increasing ratio of the world's new hemodialysis patients.

Conclusion

The project construction of the hospital hemodialysis room at the county level is the policy of the provincial government to improve the level of medical treatment in patients with chronic kidney disease. The government give a strong financial support in the purchase of equipment, personnel training and other aspects, which is convenient for patients with end-stage renal disease to obtain renal replacement therapy, improve the ability of hospital hemodialysis services and comprehensive treatment.

Patiens and hemodialysis room development by hemodialysis network reported in China from 2014 to 2016
 In 2014In 2015In 2016
numbers of hemodialysis patients635068569170
the new MHD patients8337702068
hemodialysis room in county hospital304089