Economic costs of automated and continuous ambulatory peritoneal dialysis in Taiwan: a combined survey and retrospective cohort analysis
| Autor: | Yuh Mou Sue, Yu Ting Wu, Jer Chia Tsai, Hsi Hsien Chen, Chao Hsiun Tang, Ming Ju Wu, Siao Yuan Huang, Bang Gee Hsu, Tso Hsiao Chen |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_treatment 030232 urology & nephrology 030204 cardiovascular system & hematology urologic and male genital diseases State Medicine 0302 clinical medicine Peritoneal Dialysis Continuous Ambulatory Quality of life Surveys and Questionnaires Economic cost economic cost health care economics and organizations Aged 80 and over musculoskeletal neural and ocular physiology medical utilization Health Care Costs General Medicine Middle Aged female genital diseases and pregnancy complications peritoneal dialysis Ambulatory cardiovascular system Female Database research Adult medicine.medical_specialty Adolescent Taiwan Peritoneal dialysis Young Adult 03 medical and health sciences Health Economics medicine Humans Intensive care medicine Aged Retrospective Studies business.industry Research Continuous ambulatory peritoneal dialysis Retrospective cohort study Propensity score matching Quality of Life Kidney Failure Chronic Health Expenditures business |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2016-015067 |
| Popis: | Objectives Taiwan succeeded in raising the proportion of peritoneal dialysis (PD) usage after the National Health Insurance (NHI) payment scheme introduced financial incentives in 2005. This study aims to compare the economic costs between automated PD (APD) and continuous ambulatory PD (CAPD) modalities from a societal perspective. Design and setting A retrospective cohort of patients receiving PD from the NHI Research Database was identified during 2004–2011. The 1:1 propensity score matched 1749 APD patients and 1749 CAPD patients who were analysed on their NHI-financed medical costs and utilisation. A multicentre study by face-to-face interviews on 117 APD and 129 CAPD patients from five hospitals located in four regions of Taiwan was further carried out to collect data on their out-of-pocket payments, productivity losses and quality of life with EuroQol-5D-5L. Outcome measures The NHI-financed medical costs, out-of-pocket payments and productivity losses of APD and CAPD patients. Results The total NHI-financed medical costs per patient-year after 5 years of follow-up were significantly higher with APD than CAPD (US$23 005 vs US$19 237; p |
| Databáze: | OpenAIRE |
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