XN000022-1987-11-16 — Page 8

MONDAY, NOVEMBER 16, 1987

ITA

HOWEVER, MEMBERS ALSO NOTED THAT THERE WERE LIMITATIONS TO

PUT ON THIS FORM OF TREATMENT; USB AND NOT ALL PATIENTS COULD BE

TO HAEMODIALYSIS HENCE THEY AGREED THAT CAPD WAS A USEFUL COMPLEMENT FACILITIES BUT COULD NOT REPLACE THE LATTER ENTIRELY.

THAT

ON DEMAND FOR THE DIALYSIS PROGRAMME, IT IS ESTIMATED 45 NEW PATIENTS PER MILLION POPULATION WILL NEED TO BE ADMITTED TO THE PROGRAMME BACH YEAR.

OF THE CURRENT RATE MILLION POPULATION PER YEAR.

INTAKE IS ABOUT 36 NEW

PATIENTS

PER

PROVIDING FACILITIES FOR IN ORDER TO MEET the target of

IS PROPOSED THAT 40 NEW PATIENTS ESTIMATED NEW PATIENTS, IT

INTO THE ACCEPTED

DIALYSIS PROGRAMMB IN MILLION SHOULD BK RISING TO 45 PER MILLION IN 1989.

THE

PER

1988,

RENAL FAILURE INCREASE FROM ABOUT

THE NUMBER OF END-STAGE THE MDAC NOTED THAT PATIENTS FOR WHOM PROVISION SHOULD BE MADE WILL 550 AT PRESENT TO ABOUT 2,400 IN 1996.

2,400

ABOUT PATIENTS,

900 IT IS ESTIMATED THAT OF THE

WILL 1,500 WILL TAKE UP CAPD. THE RECEIVE HAEMODIALYSIS TREATMENT AND

COMPARED WITH THE TOTAL ESTIMATED COST WILL BE OVER $193 MILLION, AS CURRENT EXPENDITURE OF $62 MIIILION.

AT PRESENT, THERE ARE 90 138 WILL BE PROVIDED BY 1995.

HAEMODIALYSIS

MACHINES AND ANOTHER

FORM

OF

MEMBERS AGREED THAT THE BEST DURING THE MEETING, TREATMENT FOR END-STAGE RENAL PATIENTS IS KIDNEY TRANSPLANTATION.

SINCE THE FIRST TRANSPLANT IN 1969, ONLY ABOUT HAVE BEEN PERFORMED IN PUBLIC HOSPITALS.

210 OPERATIONS

THE MEETING URGED THAT MORE PROMOTIONAL EFFORTS SHOULD BE TO AROUSE PUBLIC AWARENESS ON KIDNEY DONATION.

MADE

HOWEVER, MEMBERS WERE GRATIFIED TO NOTE THAT ABOUT 70 PER OF THE TRANSPLANTS WERE PERFORMED IN THE LAST FIVE YEARS AND THAT FIGURES FOR THE FIRST HALF OF 1987 WERE PARTICULARLY ENCOURAGING 28 TRANSPLANTS CARRIED OUT.

IN VIEW

CENT

THE WITH

FOR THE RENAL SERVICE, THE TURNING TO MANPOWER REQUIREMENT

OF

THE SHIFT

TO CAPD OF EMPHASIS MEETING ADVISED THAT

EXPANSION IN THIS SERVICE, THE STAFF TREATMENT IN FUTURE AND THE

RECOMMENDED PLANNING RATIO FOR DOCTORS AND NURSES FOR THE RENAL UNITS BY THE CENTRAL RENAL COMMITTER SHOULD BE ADOPTED.

IS ONE DOCTOR ΤΟ 30 RENAL FOR DOCTORS, THE PLANNING RATIO PATIENTS RECEIVING LONG-TERM REPLACEMENT THERAPY.

/FOR HOSPITAL