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Néphrologie & Thérapeutique

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Geographical access to hemodialysis: an analysis of patient choices Volume 20, issue 1, February 2024

Figures


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Tables

Authors
1 Aix-Marseille Université, EA 3279, Santé publique, Centre d’étude et de recherche sur les services de santé et la qualité de vie, faculté de médecine, 27, boulevard Jean Moulin, 13385 Marseille Cedex 5, France
2 Cellule d’appui épidémiologique, Registre REIN Provence-Alpes Côtes d’Azur et Corse, Assistance Publique-Hôpitaux de Marseille, Hôpital de La Conception, Marseille, France
3 Assistance Publique-Hôpitaux de Marseille, Hôpital de la Conception, Centre de néphrologie et transplantation rénale, Marseille, France
4 Assistance Publique-Hôpitaux de Marseille, Hôpital de la Conception, Service d’évaluation médicale, Marseille, France
* Correspondance : B. Devictor <benedicte.devictor@univ-amu.fr>

Introduction

Patients do not always go to the facility closest to their home.

Description

A study was carried out in Provence-Alpes Côtes d’Azur (PACA) on patients’ preferences to mobilize the hemodialysis offer.

Methods

The data were extracted from the REIN Registry. Potential access was compared with actual access. A survey was carried out among a sample of patients travelling an additional distance of more than 25 km.

Results

About a quarter of the patients did not travel to the nearest facility. Of these, 16.3% travelled an additional distance of over 25 km. Patients’ choices were determined by the relationship of trust with the team that first set up dialysis, followed by their desire to be followed in a multi-purpose facility.

Discussion

While distance remained the decisive factor, human factors were cited in the majority of cases to explain the bypass.

Conclusion

The links between the first team and the next one should be strengthened.