Economic Burden and Medical Insurance Impact of the Different Dialysis for End-stage Renal Diseases

  • Dan GAO Dept. of Nephrology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China
  • Sanhui JING Dept. of Nephrology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China
  • Jian WU College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
  • Ge WU Dept. of Nephrology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China
Keywords: End stage renal disease, Hemodialysis, Peritoneal dialysis, Medical insurance

Abstract

Background: Dialysis costs was a heavy burden in End Stage Renal Disease (ESRD) patients. In China, the two major medical insurance systems are the New Cooperative Medical Scheme (NCMS) for rural residents and the Urban Employees’ Medical Insurance (UEMI) for urban patients. This study compared the economic bur-den of ESRD patients under different dialysis methods and the impact of the medical insurance system on it. Methods: Overall, 156 ESRD patients were enrolled at the Department of Nephrology in the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China between Jan 2013 and Jan 2014. They were divided into hemodialysis group (HD group, n=84) and peritoneal dialysis group (PD group, n=72). The data, such as the patient's basic information, total expenses and self-paid expenses in the early stage of dialysis and 1-year treatment, and medical insurance type, were separately collected. Results: The early-stage average total expenses and self-paid expenses in the PD group were higher than those in the HD group (P<0.01). The average total expenses and self-paid expenses in the PD group were lower than those in the HD group (P<0.01). Whichever dialysis method was used, the self-paid expense percentage for the NCMS patients and was higher than UEMI patients.Conclusion: In terms of the long-term dialysis treatment for ESRD patients, the better choice was PD judging by the treatment expenses. Meanwhile, different medical insurance types had significant economic burden im-pacts on dialysis patients.    

References

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Published
2018-11-01
How to Cite
1.
GAO D, JING S, WU J, WU G. Economic Burden and Medical Insurance Impact of the Different Dialysis for End-stage Renal Diseases. Iran J Public Health. 47(11):1675-1680.
Section
Original Article(s)