Dialysis in Barbados: the cost of hemodialysis provision at the Queen Elizabeth Hospital.
نویسندگان
چکیده
OBJECTIVE The purpose of this study was to assess the health service cost of hemodialysis delivered at the Queen Elizabeth Hospital in St. Michael, Barbados. METHODS A cost analysis was performed from the viewpoint of the tertiary hospital studied here, using treatment protocols based on current practice for establishing vascular access sites (surgical set-up) and dialysis maintenance. Cost and patient data were collected for the period from 1 April 1998 to 31 March 1999. Sixty-four patients were studied and a total of 7 488 hemodialysis sessions were performed in the study period. The costs analyzed were personnel, drug expenditure, supplies (dialysis and nondialysis), inpatient costs, laboratory and other ancillary services, and indirect or overhead costs such as engineering, housekeeping, laundry and administration. RESULTS The cost per hemodialysis treatment was calculated as US$ 156.64 in the first year and US$ 145.55 in subsequent years. The total cost per patient per year was US$ 18 327.22 in the first year of dialysis including surgical set-up, and US$ 17 029.54 thereafter. Direct costs (determined by patients' utilization of resources and labor costs for physicians and nurses) contributed to 80.7% of the total cost. The main expenditures were dialysis-related supplies, labor and overheads. CONCLUSION These findings are important in the light of limited economic resources available to health services in Caribbean countries coupled with the spiraling prevalence of kidney failure in these countries. Further analyses are recommended to review the provision of renal replacement therapy services in Barbados and to develop plans to expand and optimize services.
منابع مشابه
The Prognostic Value of Admission Glasgow Coma Scale and AVPU in Acute Drug Poisoning Patients
متن کامل
Primary Adenotonsillar Tuberculosis in an Immunocompetent Child -A Case Report
Introduction: Primary tuberculosis (TB) of the oropharynx and nasopharynx is an extremely rare form of extra-pulmonary TB in children. Primary tuberculosis occurs more likely secondary to pulmonary TB and is more common in immunocompromised patients. Case Report: We reported the case of a young male presented with the symptoms of non-specific chronic adenotonsillitis, ...
متن کاملStridor in a Newborn with Double Aortic Arch-A Case Report
Introduction: Double aortic arch (DAA) is a congenital anomaly of the aortic arch. It is the most common type of complete vascular ring. When it occurs, the connected segment of the aortic arch and its branches encircle the trachea and esophagus, leading to symptoms related to these two structures. Case Report: We present a case of a newborn baby who developed biphasic stridor immediately after...
متن کاملباز پس گرفته شده: مقایسه هزینه ـ اثر بخشی روش دیالیز با پیوند کلیه با استفاده از شاخص دالی در بیمارستان شهید هاشمی نژاد
Introduction: long-term hemodialysis and kidney transplantation are the most common treatment for kidney failure. Regarding the increasing demand of these patients to receive therapeutic services, cost-effectiveness of these methods are compared. Method:This Cross - Sectional research was done to compare cost - effectiveness of long - term hemodialysis and kidney transplantation using Delphi in...
متن کاملAn Evaluation of the Effects of Oral Carnitine in Decreasing Complications of Chronic Hemodialysis at Fatemieh Hospital in Semnan
Tamadon MR1, Toussy J2, Soleimani AR3, Moghimi J1, Malek F1, Moradi A4, Shahvarani A5, Tavasoli M5 1. Assistant Professor, Department of Internal, Digestion and Hepatology Research Center, Semnan University of Medical Sciences 2. Statistics Counselor, Digestion and Hepatology Research Center, Semnan University of Medical Sciences 3. Assistant Professor, Department of Internal, Kashaan Universit...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Revista panamericana de salud publica = Pan American journal of public health
دوره 16 5 شماره
صفحات -
تاریخ انتشار 2004