[Hemodialysis performance in Center East Tunisia: Compliance and adequacy of biological tests (PHCET study 2014)].
Performance des centres d’hémodialyse au Centre Est Tunisien : conformité et adéquation des examens biologiques (Étude PHCET 2014).
Adult
Aged
Diagnostic Tests, Routine
/ standards
Female
Guideline Adherence
/ statistics & numerical data
Humans
Male
Middle Aged
Practice Patterns, Physicians'
/ statistics & numerical data
Quality Indicators, Health Care
/ statistics & numerical data
Quality of Health Care
/ statistics & numerical data
Renal Dialysis
/ standards
Tunisia
Audit médical
Biological tests
Dialyse rénale
Examens biologiques
Healthcare quality
Hemodialysis
Hemodialysis units
Indicateurs qualité santé
Medical audit
Quality of care indicators
Qualité des soins de santé
Tunisia
Tunisie
Unités hospitalières d’hémodialyse
Journal
Revue d'epidemiologie et de sante publique
ISSN: 0398-7620
Titre abrégé: Rev Epidemiol Sante Publique
Pays: France
ID NLM: 7608039
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
31
03
2017
revised:
10
09
2018
accepted:
10
10
2018
pubmed:
17
12
2018
medline:
29
5
2019
entrez:
17
12
2018
Statut:
ppublish
Résumé
Determining the performance level of hemodialysis facilities, including an evaluation of biological tests, is a prerequisite for quality assessment of these healthcare structures. The purpose of this work was to evaluate the compliance and adequacy of biological tests performed in 2014 in Center-East Tunisia hemodialysis units. Data were collected using an analysis grid for 15 biological indicators including 11 process items and four results items used to determine the compliance and adequacy rates respectively. This study included 660 hemodialysis patients (sex ratio 1.16; mean age 53.9±15.32 years). A low level of compliance was noted for several biological tests (blood glucose: 0.8%; hemoglobin 34.5%). The rate of adequacy of the biological results was insufficient, especially for anemia (32.7%) and calcium-phosphorus surveillance (41.8%). Intercenter and inter-region variability was noted, both for compliance and for adequacy of biological tests. This study demonstrated low compliance of biological tests performed for hemodialysis patients and the non-adequacy of the results obtained. It is thus urgent to institute a quality management system for biological tests performed in hemodialysis units.
Sections du résumé
BACKGROUND
BACKGROUND
Determining the performance level of hemodialysis facilities, including an evaluation of biological tests, is a prerequisite for quality assessment of these healthcare structures.
OBJECTIVE
OBJECTIVE
The purpose of this work was to evaluate the compliance and adequacy of biological tests performed in 2014 in Center-East Tunisia hemodialysis units.
METHODS
METHODS
Data were collected using an analysis grid for 15 biological indicators including 11 process items and four results items used to determine the compliance and adequacy rates respectively.
RESULTS
RESULTS
This study included 660 hemodialysis patients (sex ratio 1.16; mean age 53.9±15.32 years). A low level of compliance was noted for several biological tests (blood glucose: 0.8%; hemoglobin 34.5%). The rate of adequacy of the biological results was insufficient, especially for anemia (32.7%) and calcium-phosphorus surveillance (41.8%). Intercenter and inter-region variability was noted, both for compliance and for adequacy of biological tests.
CONCLUSION
CONCLUSIONS
This study demonstrated low compliance of biological tests performed for hemodialysis patients and the non-adequacy of the results obtained. It is thus urgent to institute a quality management system for biological tests performed in hemodialysis units.
Identifiants
pubmed: 30553533
pii: S0398-7620(18)31373-7
doi: 10.1016/j.respe.2018.10.005
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Langues
fre
Sous-ensembles de citation
IM
Pagination
33-41Informations de copyright
Copyright © 2018 Elsevier Masson SAS. All rights reserved.