Türkiye’de hemodiyaliz merkezlerinin kalite yönetim sistemleri ve standartları açısından değerlendirilmesi

Introduction Hemodialysis centers/units are specific units which have fictionalized particular procedures and different repayment schedules for patients diagnosed with acute kidney failure and end-stage chronic kidney failure so that they can live on, and which consist of physicians and non-physician stuff who have received special training in dialysis. Use of Service Quality Standards (SQS) in the hospitals having agreement with Social Security Institution (SGK) is imperative by virtue of service contracts. However there is not a service quality system to be necessarily applied for dialysis centers. Purpose: To Determine the Quality Management Systems applied by dialysis centers/ units which provide services in Turkey and to specify the Quality Management Systems needs of local dialysis centers. Findings: There are 850 dialysis centers / units in Turkey. The number of dialysis units inside the hospital is higher than the centers. However when it comes to examine the number of patients treated and followed up, it’s observed that the local dialysis centers which constitute 41% of total number of dialysis centers have been treating 63% of total patients. It has been determined that the dialysis centers / units are included in at least one quality system in accordance with the requests of the Ministry of Health and the Social Security Institution. Conclusion: For local dialysis centers, there is not a quality system obliged by both the Ministry of Health and the Social Security Institution. With regard to patient safety and employee safety, Quality management system should be constituted for local dialysis centers.