Las unidades de hemodiálisis en México: Una evaluación de sus características, procesos y resultados

Abstract

Objective: To evaluate the characteristics, processes, outcomes and structure of a sample of hemodialysis units (HU) in Mexico. Material and Methods: Cross-sectional study in 83 public and private HU from the 32 states in Mexico. The HU were stratified, according to a score, in five categories: very good, good, regular, poor and very poor. Results. 48% of the HU were classified as poor and very poor, and they granted medical attention to 58% of the patients. The average number of sessions per patient in the last six months assessed was 1.2 per week. 46.5% of the sessions with determination of Kt/V reported values inferior to the recommended value (Kt/V≥1.2). 75% of the units scored less than 70% in infrastructure. Conclusions. Half of the HU did not fulfill the process and result criteria defined by the Consejo de Salubridad de la Secretaría de Salud.