Abstract: 【Abstract】Objective To summarize the experience of hemodialysis unit construction in Lhasa People's Hospital of Tibet Autonomous Region supported by the medical experts from corresponding cities, and to analyze the quality control of hemodialysis for uremic patients. Methods Several medical experts from hospitals in Beijing were assigned to work in Tibet for professional assistance, medical staff training, and hemodialysis unit construction. They undertook the use of standardized operating procedures (SOP) and related guidelines for blood purification, the establishment of indices for medical service quality surveillance, treatment and health education for the patients, and the setup of patients’databases for statistical analysis of the clinical data. Their working efficacies were assessed regularly. Results In a period of four years, a hemodialysis unit was established and 11 medical professionals in Lhasa were retrained to enable them to perform hemodialysis independently.Atotal of 70 uremic patients were treated with regular hemodialysis under strict control of hemodialysis quality. After the hemodialysis for 3 months, the compliance rate of nutritional status increased from 17.1% to 31.4% (χ2=6.149, P=0.046), serum calcium increased from 1.78 mmol/L to 2.20mmol/L(t=-6.004, P＜0.001), serum phosphate decreased form 2.76mmol/L to 2.18mmol/L (t=6.149, P＜0.001), and PTH decreased from 681.93pg/mL to 461.85pg/mL (t=7.136, P＜0.001). After the hemodialysis for 6 months, the compliance rate of hemoglobin increased from 21.7% to 78.3% (χ2=37.254, P<0.001). Conclusion The assistance scheme from corresponding cities exerted considerable influences on the construction, operation and quality control of hemodialysis units in plateau areas, and is worthwhile to be promoted further.

Key words: Plateau area, Hemodialysis, Quality control, Counterpart assistance