Dialysis Care and Dialysis Funding in Asia
Autor: | Hung Chun Chen, Hyeong Cheon Park, Aida Lydia, Vivekanand Jha, Sanjib Kumar Sharma, Naoki Kashihara, Maria Gina C. Nazareth, Ehteshamul Hoque, Sydney C.W. Tang, Virithy Lun, Ariunaa Togtokh, Bak Leong Goh, Sakarn Bunnag, Mohammad Ghnaimet, Adrian Liew, Jackson Tan, Xueqing Yu |
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Rok vydání: | 2020 |
Předmět: |
Asia
medicine.medical_treatment Population 030232 urology & nephrology Developing country Health Services Accessibility Insurance Coverage Gross domestic product Hospitals Private 03 medical and health sciences 0302 clinical medicine Cost of Illness Renal Dialysis Universal Health Insurance Prevalence Per capita Humans Medicine Diabetic Nephropathies 030212 general & internal medicine education Socioeconomics Developing Countries Socioeconomic status Dialysis Health policy education.field_of_study Hospitals Public business.industry Developed Countries Health Care Costs Kidney Transplantation Transplantation Nephrology Kidney Failure Chronic Health Expenditures business Procedures and Techniques Utilization |
Zdroj: | American Journal of Kidney Diseases. 75:772-781 |
ISSN: | 0272-6386 |
Popis: | Asia is the largest and most populated continent in the world, with a high burden of kidney failure. In this Policy Forum article, we explore dialysis care and dialysis funding in 17 countries in Asia, describing conditions in both developed and developing nations across the region. In 13 of the 17 countries surveyed, diabetes is the most common cause of kidney failure. Due to great variation in gross domestic product per capita across Asian countries, disparities in the provision of kidney replacement therapy (KRT) exist both within and between countries. A number of Asian nations have satisfactory access to KRT and have comprehensive KRT registries to help inform practices, but some do not, particularly among low- and low-to-middle-income countries. Given these differences, we describe the economic status, burden of kidney failure, and cost of KRT across the different modalities to both governments and patients and how changes in health policy over time affect outcomes. Emerging trends suggest that more affluent nations and those with universal health care or access to insurance have much higher prevalent dialysis and transplantation rates, while in less affluent nations, dialysis access may be limited and when available, provided less frequently than optimal. These trends are also reflected by an association between nephrologist prevalence and individual nations’ incomes and a disparity in the number of nephrologists per million population and per thousand KRT patients. |
Databáze: | OpenAIRE |
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