To include or not include: renal dialysis policy in the era of universal health coverage

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Policy Choices for Progressive Realization of Universal Health Coverage; Comment on “Ethical Perspective: Five Unacceptable Trade-offs on the Path to Universal Health Coverage”

In responses to Norheim’s editorial, this commentary offers reflections from Thailand, how the five unacceptable trade-offs were applied to the universal health coverage (UHC) reforms between 1975 and 2002 when the whole 64 million people were covered by one of the three public health insurance systems. This commentary aims to generate global discussions on how best UHC can be gradually achieve...

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Economic evaluation of policy options for dialysis in end-stage renal disease patients under the universal health coverage in Indonesia

OBJECTIVES This study aims to assess the value for money and budget impact of offering hemodialysis (HD) as a first-line treatment, or the HD-first policy, and the peritoneal dialysis (PD) first policy compared to a supportive care option in patients with end-stage renal disease (ESRD) in Indonesia. METHODS A Markov model-based economic evaluation was performed using local and international d...

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ژورنال

عنوان ژورنال: BMJ

سال: 2020

ISSN: 1756-1833

DOI: 10.1136/bmj.m82