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Advances in Ethical, Social, and Economic Aspects of Chronic Renal Disease in Bolivia
- Source :
- Transplantation proceedings. 48(2)
- Publication Year :
- 2016
-
Abstract
- Since 2005, great progress has been made in health care provision to patients with terminal renal failure in Bolivia. Access to dialysis and transplantation is regulated by the Ministry of Health, based on clinical criteria, applied equitably, without favoritism or discrimination based on race, sex, economic means, or political power. Until December 2013, there were no restrictions in dialysis and transplantation in Health Insurance institutions, but they covered only 30% of the population. Now the remaining 70% has access to free dialysis funded by the communities where patients live, with funds coming from the government and taxes on oil products. More than 2,231 people are getting dialysis, reaching a population growth of >60% annually. The number of hemodialysis units has increased by >200% (60 units), making access easier for end-stage renal failure patients. Treatment protocols have been drawn up to guarantee the best quality of life for the patients. The Law on Donation and Transplantation was enacted in 1996, and Supplementary Regulations were enacted in 1997 with various amendments over the past 5 years. A National Transplant Coordination Board, working under the National Renal Health Program, supervises and regulates transplants and promotes deceased-donor transplantation in an attempt to cover the demand for donors. Rules have been drawn up for accreditation of transplant centers and teams to guarantee the best possible conditions and maximum guaranties. Since January 2014, the National Renal Health Program has been providing free kidney transplants from living donors.
- Subjects :
- medicine.medical_specialty
Bolivia
National Health Programs
medicine.medical_treatment
Population
Quality of life (healthcare)
Health care
medicine
Living Donors
Humans
Intensive care medicine
education
Dialysis
Accreditation
Transplantation
education.field_of_study
business.industry
Kidney Transplantation
Family medicine
Donation
Quality of Life
Kidney Failure, Chronic
Surgery
Hemodialysis
business
Subjects
Details
- ISSN :
- 18732623
- Volume :
- 48
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Transplantation proceedings
- Accession number :
- edsair.doi.dedup.....2b864c2a1333a11774b29af2529739c3