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居家血液透析歷史:美國經驗談起

Home Hemodialysis, Experience of the U.S

摘要


居家血液透析起源於1960年代的西雅圖。在當時由於居家血液透析比院所透析便宜,所以慈善團體都贊助居家血液透析,讓更多的病人可以得到治療。從1974年起美國聯邦醫療保險開始給付院所透析,居家血液透析的數量開始萎縮。直到2019年美國總統川普簽署《美國腎臟健康促進書》,宣示2025年以前,更多的末期腎臟病治療必須是腎臟移植或是居家透析治療,這項宣示或許將會使美國居家血液透析的個案增加。

並列摘要


Home hemodialysis began in 1960s in Seattle. Because home hemodialysis is cheaper than center hemodialysis, almost all charity chose home hemodialysis in order to support more patients with limited funding. In 1974, Medicare began to support center hemodialysis which resulted in the withdrawal of home hemodialysis. On July 15, 2019, an executive order (Advancing American Kidney Health) from President Donald Trump pushed for more end-stage renal disease (ESRD) patients to have transplantion or be on home dialysis by 2025, which may encourage more home hemodialysis in future.

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