Current Status and Standards for Establishment of Hemodialysis Units in Korea
Open accessAbstract
The number of hemodialysis patients and dialysis facilities is increasing each year, but there are no surveillance programs validating that the services and equipment of each hemodialysis unit meet specified safety and quality standards. There is a concern that excessive competition and illegal activities committed by some dialysis facilities may violate patients' right to health. Contrastingly, developed countries often have their own survey program to provide initial certification and monitoring to ensure that these clinics continue to meet basic requirements. Because hemodialysis units provide renal replacement therapy to critical patients suffering from severe chronic renal failure, appropriate legal regulation is important for the provision of initial certification and maintenance of facility, equipment, and human resource quality. Therefore, several standards providing minimum requirements for the area of hemodialysis unit, equipment for emergency care, physician and nurse staffs, water purification and quality management are urgently needed.
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Our S1 is lower than those commonly observed in South Korea (1:5-1:6).
“Compared internationally, our S1 is higher than Australian standards (1:3‐1:4) [20] but lower than those commonly observed in South Korea (1:5‐1:6) [21].”
From Longitudinal Analysis and Predictive Modeling of Nursing‐Sensitive Quality Indicators in Hemodialysis (2026) · cites this paper as [21]
The Proposed Facility Standards for Dialysis Units section recommends no more than five daily dialysis sessions per nurse, with an allowance of six; the Dialysis Unit Accreditation Project section reports an average of 4.97 sessions per nurse in one project (page numbers unavailable). These figures are daily workload measures, not evidence that a 1:5–1:6 nurse-to-patient ratio was commonly observed across South Korean units. (LLM, conf=0.86)
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“Compared internationally, our S1 is higher than Australian standards (1:3-1:4) [20] but lower than those commonly observed in South Korea (1:5-1:6) [21].”
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Self-citation
- Authors
- Lee, Y.-K., Kim, K., & Kim, D. J.
- Affiliations
- Hallym University (KR)
- Dialysis Committee, Korean Society of Nephrology, Seoul, Korea.
- Samsung Medical Center (KR)
- Corresponding author
- Kim, Dae Joong
- Venue
- The Korean Journal of Internal Medicine
- Published
- 2013
- Volume
- 28
- Issue
- 3
- Pages
- 274
- ISSN
- 1226-3303 (ISSN-L)
- 2005-6648
- PMC
- PMC3654122
- OpenAlex
- W2149444552
- Cited by
- 23
- References
- 5
- Citations by year
- 2026: 2 · 2024: 4 · 2023: 1 · 2022: 5 · 2021: 5 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2015: 1 · 2014: 1
- FWCI
- 0.51
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- The Korean Journal of Internal Medicine (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Nephrology › Dialysis and Renal Disease Management
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Health Sciences › Health Professions › Health Information Management › Healthcare Regulation
- Keywords
- hemodialysis unit, quality assurance, renal replacement therapy, chronic kidney disease, water purification, water quality management, employee qualification, patient rights, Korea
- MeSH terms
- Ambulatory Care Facilities, Health Workforce, Renal Dialysis, Humans, Republic of Korea
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