Document Detail


Dialysis in Barbados: the cost of hemodialysis provision at the Queen Elizabeth Hospital.
MedLine Citation:
PMID:  15729985     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Sara A Adomakoh; Chudi N Adi; Henry S Fraser; George D Nicholson
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Revista panamericana de salud pública = Pan American journal of public health     Volume:  16     ISSN:  1020-4989     ISO Abbreviation:  Rev. Panam. Salud Publica     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2005-02-25     Completed Date:  2005-03-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9705400     Medline TA:  Rev Panam Salud Publica     Country:  United States    
Other Details:
Languages:  eng     Pagination:  350-5     Citation Subset:  IM    
Affiliation:
Chronic Disease Research Centre, School of Clinical Medicine and Research, University of the West Indies, St. Michael, Barbados. sadomakoh@uwichill.edu.bb
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MeSH Terms
Descriptor/Qualifier:
Barbados
Costs and Cost Analysis
Humans
Renal Dialysis / economics*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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