Τίτλος:
Economic evaluation of hemodialysis: Implications for technology
assessment in Greece
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Objectives: Hemodialysis is a well-established treatment for 74 percent
of end-stage renal disease (ESRD) patients in Greece. The purpose of
this study is to provide an estimate of the direct cost of dialysis in a
public hospital setting and an estimate of the loss of production for
ESRD patients. The results will be useful for public health facility
planning purposes.
Methods: A socioeconomic prevalence-based analysis was performed using
micro-economic evaluation of health-care resources consumed to provide
hemodialysis for ESRD patients in 2000. Lost productivity costs due to
illness were estimated for the patient and family using the human
capital approach and the friction method. Indirect morbidity costs due
to absence from work and long-term were estimated, as well as mortality
costs. Mean gross income was used for both patient and family.
Results: Total health-sector cost for hemodialysis in Greece exceeds
Euro 171 million, or Euro 182 per session and Euro 229 per inpatient
day. There were 2,046 years lost due to mortality, and the potential
productivity cost was estimated at Euro 9.9 million, according to the
human capital approach, and Euro 303.000, according to the friction
method. Total morbidity cost due to absence from work and early
retirement was estimated at more than Euro 273 million, according to the
human capital approach, and Euro 12.5, according to the friction method.
Conclusions: Providing hemodialysis care for 0.05 percent of the
population suffering from ESRD absorbs approximately 2 percent of total
health expenditure in Greece. In addition to the cost for the National
Health System, production loss due to mortality and morbidity from the
disease are also considerable. Promoting alternative technologies such
as organ transplantation and home dialysis as well as improving
hemodialysis efficiency through satellite units are strategies that may
prove more cost-effective and psychologically advantageous for the
patients.
Συγγραφείς:
Kaitelidou, D
Ziroyanis, PN
Maniadakis, N
Liaropoulos, LL
Περιοδικό:
International Journal of Technology Assessment in Health Care
Εκδότης:
Cambridge University Press
Λέξεις-κλειδιά:
cost of hemodialysis; economic evaluation; cost of illness
DOI:
10.1017/S0266462305050051
