This means for you as a patient: You should question the effectiveness of your dialysis therapy by checking the factors listed above and the effectiveness standard (IQTIG, where is it? Where else is it being researched for quality? QIN?) of your therapy and the staff to ensure that they comply with it. Because there are shortcomings in the following 4 points:
1.: The fact that staff always meet the same patients (with the prescribed protocol and information to be filled in) leads over time to the immense importance of carrying out medical therapy being weakened due to the lack of an overall overview of the day’s events. Due to this weakening, some staff do not even think of asking the patient neutrally: “How are you today?”.
2: Since people’s daily workload is now limited to 8 hours, this has led to medical economists in HD dialysis reducing dialysis therapy to 4 hours, which has led to a reduction in the life expectancy of patients. This is clearly due to the fact that hemodialysis medical economists squeeze 3-4 dialysis shifts into 2 work shifts.
It is therefore not surprising to some patients that the staff think that “reducing dialysis to 4 hours is the norm” and that “medical care” (also called “health care”) is acceptable if you cannot/do not have to organize things flexibly.
Regarding 3: HD dialysis staff today are “autodidactically” trained, so to speak “dialysis-specialized” doctors. Although not.
What does that mean?
Because they are hired into dialysis practices directly after the 3-year “nurse” training and can get started right away, much of the work is not carried out in a specialized manner (theoretically or practically, only autodidactically) and leads to an excessive number of errors, which is to the detriment of the patients:
-Incorrect punctures (incorrect placement of dialysis needles)
– Incorrect adjustment of the machine
– Misuse of medical devices
– Misassessment/interpretation of patient well-being or symptom explanations, etc.
4: Since neither the medical staff nor the financial support staff of the dialysis centers courageously take the above factors into account (unfortunately there are the “blood and milk licked medical economists” (aka Mediökonolander*) – personal details!), the dialysis therapy in Germany “does not meet the minimum standard” (more information: Dialysis standard), although the capital and wealth are sufficient.
Some medical economists/personnel of local dialysis centers act according to the motto:
Some people compare the standard of dialysis therapy for their patients in Germany 🇩🇪 with the therapy standard of emerging countries, but they charge according to the gold standard of the industrialized country.
THE WARTEPATIENT
“Compared with dialysis therapy, patients receiving hemodialysis filtration (HDF) had a reduction in overall mortality, cardiovascular mortality, and infection-related mortality than patients receiving hemodialysis (HD)”
here is the study:
Hemodiafiltration versus Hemodialysis in End-Stage Kidney Disease: A Systematic Review and Meta-Analysis
Here is the confirmation from a doctor’s portal:
Renal insufficiency: Hemodiafiltration can improve dialysis
Explanation of the differences between HD and HDF (link or section has been deleted in Austria!):
https://www.gesundheit.gv.at/
Alternatively read on: DocCheckFlexikon
