View : 79 Download: 0

Budget impact analysis of the change in peritoneal dialysis use rate in Korea

Title
Budget impact analysis of the change in peritoneal dialysis use rate in Korea
Authors
Kim J.Lee N.R.Son S.K.Lee J.P.Park J.T.Kim Y.J.Ryu D.-R.
Ewha Authors
류동열
SCOPUS Author ID
류동열scopus
Issue Date
2019
Journal Title
Peritoneal Dialysis International
ISSN
0896-8608JCR Link
Citation
Peritoneal Dialysis International vol. 39, no. 6, pp. 547 - 552
Keywords
End-stage renal diseaseHemodialysis
Publisher
Multimed Inc.
Indexed
SCIE; SCOPUS WOS scopus
Document Type
Article
Abstract
Background: While the number of peritoneal dialysis (PD) patients has decreased by 14.4% from 2006 to 2016, the number of hemodialysis (HD) patients has sharply increased, by 237.2%, in the same period, leading to an increase in the total medical cost. We analyzed the effects of the changes in PD use rates for dialysis patients in Korea on the healthcare budget using budget impact analysis (BIA). ♦Methods: The analysis modeled the influence of the increase in dialysis for the target population, changes in modality use rate, and/or changes in costs per patient-year on total medical cost for patients on dialysis, using the National Health Insurance Service (NHI) claims data. We developed 8 scenarios according to the changing PD use rate. ♦Results: In scenarios 1 - 4 (increase in PD patients by 6%, 13%, 20%, and 50% of non-diabetic prevalent HD patients under 65), 5-year budget savings ranged from $47 million to $394 million (0.9% - 7.3% of the end-stage renal disease [ESRD] budget). In scenarios 5 - 8 (increase in incident PD patients by 20%, 50%, 70%, and 100% of non-diabetic patients under 65), 5-year savings ranged from $25 million to $74 million (0.5% - 1.4% of the ESRD budget). In all scenarios, budget savings were higher as PD patients increased, showing a gradually growing trend. ♦Conclusion: In all scenarios from the payer’s perspective, savings could be achieved through an increase in PD use. Selecting PD for ESRD patients without different expected clinical outcomes between HD and PD would be beneficial to the NHI budget. © 2019 International Society for Peritoneal Dialysis. © 2019 International Society for Peritoneal Dialysis.
DOI
10.3747/pdi.2018.00037
Appears in Collections:
의과대학 > 의학과 > Journal papers
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE