Evidence on outsourcing dialysis services: a scoping review.
| Autor: | Caro Martínez A; Escuela Andaluza de Salud Pública (EASP), Granada, Spain; Programa de Doctorado Interuniversitario en Ciencias de la Salud, Universidad de Jaén-Universidad de Sevilla (UJA-US), Sevilla, Spain., González Vera MLÁ; Farmacia comunitaria, Farmacia del Puente, Pinos Puente, Granada, Spain., Prieto Velasco M; Servicio de Nefrología, Hospital de León, León, Spain., Olry de Labry Lima A; Escuela Andaluza de Salud Pública (EASP), Granada, Spain; Instituto de Investigación Biosanitaria, ibs, Granada, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain; CIBER en Epidemiología y Salud Pública (CIBERESP), Spain. Electronic address: antonio.olrylabry.easp@juntadeandalucia.es. |
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| Jazyk: | angličtina |
| Zdroj: | Nefrologia [Nefrologia (Engl Ed)] 2022 Nov-Dec; Vol. 42 (6), pp. 621-632. Date of Electronic Publication: 2023 Mar 11. |
| DOI: | 10.1016/j.nefroe.2023.03.002 |
| Abstrakt: | Introduction: Chronic kidney disease represents an important health problem, due to its high incidence and prevalence, as well as its significant morbidity and mortality and socioeconomic cost. Aims: compare the effectiveness and economic consequences of outsourcing versus hospital dialysis. Method: A scoping review, for which different databases were consulted, using controlled and free terms. Those articles that compared concerted versus in hospital dialysis in terms of effectiveness were included. Likewise, those publications that compared, in the Spanish field, the cost between both modes of service provision and the public price rates of the different Autonomous Communities were included. Results: 11 articles were included in this review: 8 on comparison of effectiveness, all of them in the USA, and 3 on costs. A higher rate of hospitalization was observed in subsidized centers, but no differences in mortality were observed. Additionally, greater competition among providers was associated with lower hospitalization rates. The cost studies reviewed show that hospital hemodialysis is more expensive than in subsidized centers, due to the structural costs. The data of the public rates of the different Autonomous Communities show a wide heterogeneity in the payment of the concerts. Conclusions: the coexistence in Spain of public and subsidized centers, the variability in the provision and costs of dialysis techniques, and the low of evidence on the effectiveness of outsourcing treatment show all the need to continue promoting strategies that result in improvement in the care for Chronic Kidney Disease. (Copyright © 2021 Sociedad Española de Nefrología. Published by Elsevier España, S.L.U. All rights reserved.) |
| Databáze: | MEDLINE |
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