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Current status and standards for establishment of hemodialysis units in Korea

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초록

The number of hemodialysis patients and dialysis facilities is increasing each year, but there are no surveillance programs validating that the services and equipment of each hemodialysis unit meet specified safety and quality standards. There is a concern that excessive competition and illegal activities committed by some dialysis facilities may violate patients’ right to health. Contrastingly, developed countries often have their own survey program to provide initial certification and monitoring to ensure that these clinics continue to meet basic requirements. Because hemodialysis units provide renal replacement therapy to critical patients suffering from severe chronic renal failure, appropriate legal regulation is important for the provision of initial certification and maintenance of facility,equipment, and human resource quality. Therefore, several standards providing minimum requirements for the area of hemodialysis unit, equipment for emergency care, physician and nurse staffs, water purification and quality management are urgently needed.

Abstract

The number of hemodialysis patients and dialysis facilities is increasing each year, but there are no surveillance programs validating that the services and equipment of each hemodialysis unit meet specified safety and quality standards. There is a concern that excessive competition and illegal activities committed by some dialysis facilities may violate patients’ right to health. Contrastingly, developed countries often have their own survey program to provide initial certification and monitoring to ensure that these clinics continue to meet basic requirements. Because hemodialysis units provide renal replacement therapy to critical patients suffering from severe chronic renal failure, appropriate legal regulation is important for the provision of initial certification and maintenance of facility,equipment, and human resource quality. Therefore, several standards providing minimum requirements for the area of hemodialysis unit, equipment for emergency care, physician and nurse staffs, water purification and quality management are urgently needed.

참고문헌 (11)

  1. ESRD Registry Committee, Korean Society of Nephrology, "Current renal replacement therapy in Korea: Insan Memorial Dialysis Registry", Korean J Nephrol, 30(2), pp.531~557 (2010)
  2. "Part II. Department of Health and Human Services. 42 CFR parts 405, 410, 413 et al. medicare and medicaid programs: conditions for coverage for end-stage renal disease facilities: final rule" (2008)[URL]
  3. "Summary of the ESRD network program" (2011)[URL]
  4. Mettang T., , Perit Dial Int, 24, pp.526~527 (2004)
  5. Deutschen Arbeitsgem einschaft für Klinische Nephrologie, "e.V.; Verband Deutscher Nierenzentren der DD nÄ e.V.; Arbeitsgem einschaft für Pädiatrische Nephrologie (APN). Dialysesta ndard 2006", Mitt Klin Nephrologie, 35, pp.124~180 (2006)
  6. "Guidelines for private healthcare institutions providing renal dialysis: Regulation 4 of the Private Hospitals and Medical Clinics Regulations" (2011)[URL]
  7. "Accreditation of renal dialysis unit" (2011)[URL]
  8. "History and mission" (2009)[URL]
  9. Ohira S, "Japanese Society for Dialysis Therapy guidelines for vascular access construction and repair for chronic hemodialysis", Ther Apher Dial, 10, pp.449~462 (2006)
  10. Collins AJ, "United States Renal Data System 2011 Annual Data Report: atlas of chronic kidney disease & end-stage renal disease in the United States", Am J Kidney Dis, 59(1), pp.7~ (2012)
  11. Kim GM, "Design of a dialysis treatment room", Korean J Nephrol, 16(2), pp.124~131 (1997)

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