Economic approach to dayly home hemodialysis in France

  • Vincent Landi Association ECHO, pavillon Montfort 85 rue St Jacques BP 10214 44 202 Nantes cedex 2
Keywords: Dayly hemodiaylisis, home dialysis, economy

Abstract

The ever-increasing health care needs of the population is an even greater reality when it comes to the care of patients with chronic diseases. INSEE [1] clearly highlights the difficulties to which the French health system will be subject if a reflection on the funding methods but also on the structure of the care offer is not carried out as soon as possible.

In this context of necessary evolution of the system, it seems important that the actors on the ground can also bring objective elements allowing to feed a collective reflection.

This note concerns the management of patients with chronic kidney disease. It aims to provide information from the expertise of professionals in the sector intended to objectify a few proposals detailed in its last part.

References

Insee Références, édition 2018 - Santé - Handicap - Dépendance

https://www.insee.fr/fr/statistiques/2587886

Rapport de la DRESS sur l’état de santé de la population en France en 2017

https://drees.solidarites-sante.gouv.fr/IMG/pdf/esp2017.pdf

Plus de 10 millions de Français souffrent d’une maladie chronique

Hayat Gazzane

Publié le 14 décembre 2016 à 10:50, mis à jour le 5 avril 2019 à 15:35

https://www.lefigaro.fr/conjoncture/2016/12/14/20002-20161214ARTFIG00089-plus-de-10-millions-de-francais-souffrent-d-une-maladie-chronique.php

Propositions issues des États Généraux du Rein

http://www.renaloo.com/images/stories/EGR/rapport%20final.pdf

The FHN Trial Group

Etude Frequent hemodialysis Network (FHN), publiée en 2010

In-Center Hemodialysis Six Times per Week versus Three Times per Week

N Engl J Med 2010; 363:2287-2300

DOI: 10.1056/NEJMoa1001593

Rapports R.E.I.N. 2017-2016

https://www.agence-biomedecine.fr/IMG/pdf/rapportrein2017.pdf

A.Benabed,P.Henri, C.Bechade, et al.

Résultats cliniques des 54 premiers patients traités par hémodialyse quotidienne à bas débit de dialysat à domicile en France et en Belgique. Néphrologie & Thérapeutique 2014 (5) 10 318-319

https://doi.org/10.1016/j.nephro.2014.07.074

Published
2020-04-13