Abstract：
BACKGROUND:The cost of dialysis in low and middle-Income countries has not been systematically reviewed. The objective of this article is to systematically review peer-reviewed articles on the cost of dialysis across low and middle-income countries. METHODS:PubMed and Embase databases were searched for the year 1998 to March 2013, and additional studies were added from Google Scholar search. An article was included if two reviewers agreed that it had reported cost of dialysis from low and middle-Income countries. RESULTS:The annual cost per patient for hemodialysis (HD) ranged from Int$ 3,424 to Int$ 42,785, and peritoneal dialysis (PD) ranged from Int$ 7,974 to Int$ 47,971. Direct medical cost especially drugs and consumables for HD and dialysis solutions and tubing for PD were the main cost drivers. CONCLUSION:The number of studies on the economics of dialysis in low and middle-income countries is limited. Few papers indicate that dialysis is an expensive form of treatment for the population of these countries and that the poorer countries have an over-proportional burden to finance dialysis services. Further research is needed to determine the cost of dialysis based on a standard methodology grounded on existing economic guidelines and to address the question whether dialysis should be an element of the essential package of health in resource-poor countries. Used data should be as complete as possible. In case of missing data, proxies can be used. In case of developing countries, expert interviews are often used for estimating missing information.
journal_name
BMC Health Serv Resjournal_title
BMC health services researchauthors
Mushi L,Marschall P,Fleßa Sdoi
10.1186/s12913-015-1166-8subject
Has Abstractpub_date
2015-11-12 00:00:00pages
506issn
1472-6963pii
10.1186/s12913-015-1166-8journal_volume
15pub_type
杂志文章,评审abstract：BACKGROUND:As in other resource limited settings, the Ministry of Health in Zambia is challenged to make affordable and acceptable PMTCT interventions accessible and available. With a 14.3% HIV prevalence, the MOH estimates over one million people are HIV positive in Zambia. Approximately 500,000 children are born annu...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-10-29
更新日期：2010-01-28 00:00:00
abstract：BACKGROUND:Tuberculosis (TB) patients have difficulty following a long-term treatment regimen. Efforts to improve treatment outcomes require better understanding of adherence as a complex behavioral issue and of the particular barriers to and facilitators of patient adherence. METHODS:This study was carried out in Jia...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-9-169
更新日期：2009-09-18 00:00:00
abstract：BACKGROUND:Patients with knee osteoarthritis [OA] are commonly treated by physiotherapists in primary care. Measuring physiotherapy performance is important before developing strategies to improve quality. The purpose of this study was to measure physiotherapy performance in patients with knee OA by comparing clinical ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-8-145
更新日期：2008-07-08 00:00:00
abstract：BACKGROUND:The treatment gap for epilepsy is considerable in low and middle-income countries. In the Lao PDR it is estimated at over 90%. Health workers play a significant role in bridging the gap between people with epilepsy (PWE) and access to epilepsy care. In a national survey we assessed: 1) the knowledge and prac...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-13-41
更新日期：2013-02-04 00:00:00
abstract：BACKGROUND:The aim of this study was to compare the expressed levels of career satisfaction of three groups of comparable dental healthcare professionals, working in Trinidad, the United Kingdom and New Zealand. METHODS:Three questionnaire surveys were carried out of comparable dental healthcare professionals. Dental ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-6-32
更新日期：2006-03-14 00:00:00
abstract：BACKGROUND:Access to healthcare in remote areas is difficult and telehealth could be a promising avenue if accepted by the population. The aim of this study is to assess social acceptance and population confidence in telehealth in the Province of Quebec. METHODS:We conducted a survey using a questionnaire assessing th...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-0727-1
更新日期：2015-02-21 00:00:00
abstract：BACKGROUND:Chronic disease management has been implemented for some time in several countries to tackle the increasing burden of chronic diseases. While Switzerland faces the same challenge, such initiatives have only emerged recently in this country. The aim of this study is to assess their feasibility, in terms of ba...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-12-176
更新日期：2012-06-22 00:00:00
abstract：BACKGROUND:Immigrants and their Norwegian-born children make up approximately 18% of the total population in Norway. While several studies have been conducted on immigrants' utilization of healthcare services, immigrant families are systematically underrepresented in international studies of children with disabilities....
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-020-5004-2
更新日期：2020-02-22 00:00:00
abstract：BACKGROUND:In 2000, midwifery was regulated in the Canadian Province of Manitoba. Since the establishment of the midwifery program, little formal research has analyzed the utilization of regulated midwifery services. In Manitoba, the demand for midwifery services has exceeded the number of midwives in practice. The spe...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1334-5
更新日期：2016-03-15 00:00:00
abstract：BACKGROUND:Rates of noncommunicable diseases (NCDs) such as type 2 diabetes are escalating in low and middle-income countries such as Brazil. Scalable primary care-based interventions are needed to improve self-management and clinical outcomes of adults with diabetes. This pilot study examines the feasibility, acceptab...
journal_title：BMC health services research
pub_type： 临床试验,杂志文章
doi：10.1186/s12913-016-1968-3
更新日期：2017-01-13 00:00:00
abstract：BACKGROUND:Empirical evidence on how ownership type affects the quality and cost of medical care is growing, and debate on these topics is ongoing. Despite the fact that the private sector is a major provider of hospital services in Greece, little comparative information on private versus public sector hospitals is ava...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-11-234
更新日期：2011-09-23 00:00:00
abstract：BACKGROUND:Intermediate care (IC) describes a range of services targeted at older people, aimed at preventing unnecessary hospitalisation, promoting faster recovery from illness and maximising independence. Older people are at increased risk of medication-related adverse events, but little is known about the provision ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-0869-1
更新日期：2015-06-02 00:00:00
abstract：BACKGROUND:Shared Decision Making (SDM) is an approach where clinicians and patients share the best available evidence to make decision and where patients opinions are considered. This approach provides benefits for patients, clinicians and health care system. The aim of the present study is to investigate the patients...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-4002-8
更新日期：2019-03-18 00:00:00
abstract：BACKGROUND:Osteoporosis has significant impact on healthcare costs and quality of life. Amongst the models for collaborative disease state management services published internationally, there is sparse evidence regarding the role of community pharmacists in the provision of osteoporosis care. Hence, the aim of our stud...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-016-1686-x
更新日期：2016-08-30 00:00:00
abstract：BACKGROUND:Poorer cancer outcomes of Indigenous Australians in Australia's Northern Territory (NT) compared with their non-Indigenous counterparts are partially due to diminished access to cancer treatment services (CTS). Accessibility of health care is a multidimensional construct, including physical, logistical, psyc...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-021-06066-3
更新日期：2021-01-28 00:00:00
abstract：BACKGROUND:Understanding the factors that influence the hospital length of stay (LOS) for patients with stroke will help in discharge planning and stroke unit management. We explored how intravenous thrombolysis (IVT) affects LOS in an acute-care hospital setting. METHODS:We analyzed adult patients with ischemic strok...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-015-1080-0
更新日期：2015-09-23 00:00:00
abstract：BACKGROUND:In many countries health policy encourages patients to choose their hospital, preferably by considering information of performance reports. Previous studies on hospital choice mainly have focused on patients undergoing elective surgery. This study examined a representative sample of hospital inpatients acros...
journal_title：BMC health services research
pub_type： 杂志文章,多中心研究
doi：10.1186/s12913-017-2712-3
更新日期：2017-11-13 00:00:00
abstract：BACKGROUND:Equity in health care across all social groups is a major goal in health care policy. Immigrants may experience more mental health problems than natives, but we do not know the extent to which they seek help from primary health care services. This study aimed to determine a) the rate immigrants use primary h...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-14-341
更新日期：2014-08-13 00:00:00
abstract：BACKGROUND:The value of the Internet to deliver preoperative education would increase if there was variability in questions patients want answered. This study's goal was to have patients consulting an orthopedic surgeon about undergoing either a total hip arthroplasty (THA) or a total knee arthroplasty (TKA) rate the i...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-3-11
更新日期：2003-06-24 00:00:00
abstract：BACKGROUND:Russia is one of the very few industrialised countries in the world where life expectancy has been declining. Alcohol has been implicated as a major contributor to the rapid fluctuations observed in male life expectancy since 1985 that have been particularly marked among working-age men. One approach to redu...
journal_title：BMC health services research
pub_type： 杂志文章,随机对照试验
doi：10.1186/1472-6963-8-69
更新日期：2008-03-31 00:00:00
abstract：BACKGROUND:Healthcare reforms initiated in the early 2000s in Québec involved the implementation of new modes of primary healthcare (PHC) delivery and the creation of Health and Social Services Centers (HSSCs) to support it. The objective of this article is to assess and explain the degree of PHC organizational change ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-14-229
更新日期：2014-05-21 00:00:00
abstract：BACKGROUND:In France, equality in access to screening has been one of the main thrusts of public policies implemented between 2009 and 2013 (the national cancer plan). Our aim in this study was to analyse the obstacles to and levers for breast, cervical, and colorectal cancer screening uptake and their trends over time...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-14-465
更新日期：2014-10-04 00:00:00
abstract：BACKGROUND:The interface between primary care and specialist medical services is an important domain for health services research and policy. Of particular concern is optimising specialist services and the organisation of the specialist workforce to meet the needs and demands for specialist care, particularly those gen...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-4-8
更新日期：2004-05-13 00:00:00
abstract：BACKGROUND:Professional networks are used increasingly in health care to bring together members from different sites and professions to work collaboratively. Key players within these networks are known to affect network function through their central or brokerage position and are therefore of interest to those who seek...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-13-338
更新日期：2013-08-30 00:00:00
abstract：BACKGROUND:Growing understanding of the influence of social determinants of health (SDH) on healthcare costs and outcomes for low income populations is leading State Medicaid agencies to consider incorporating SDH into their program design. This paper explores states' current approaches to SDH. METHODS:A mixed-methods...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-019-3977-5
更新日期：2019-03-14 00:00:00
abstract：BACKGROUND:Prompt, correct diagnosis and treatment with health information are essential components of reproductive tract infection (RTI) and sexually transmitted infection (STI) services. This study aims to describe care seeking behaviour and barriers to accessing RTI/STI services among female sex workers (FSWs) in La...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-12-37
更新日期：2012-02-14 00:00:00
abstract：BACKGROUND:The Future of Family Medicine Report calls for a fundamental redesign of the American family physician workplace. At the same time, academic family practices are under economic pressure. Most family medicine departments do not have self-supporting practices, but seek support from specialty colleagues or hosp...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/1472-6963-6-38
更新日期：2006-03-20 00:00:00
abstract：BACKGROUND:Rapidly evolving socioeconomic and technological trends make it challenging to improve access, effectiveness and efficiency in the use of pharmaceuticals. This paper identifies and systematically classifies the prevailing pharmaceutical policies worldwide in relation to a country's income status. METHODS:A ...
journal_title：BMC health services research
pub_type： 杂志文章
doi：10.1186/s12913-017-2304-2
更新日期：2017-05-25 00:00:00
abstract：BACKGROUND:In Italy many diabetics still lack adequate care in general practice. We assessed the effectiveness of different strategies for the implementation of an evidence-based guideline for the management of non-complicated type 2 diabetes among General Practitioners (GPs) of Lazio region. METHODS:Three-arm cluster...
journal_title：BMC health services research
pub_type： 杂志文章,随机对照试验
doi：10.1186/1472-6963-7-79
更新日期：2007-06-04 00:00:00
abstract：BACKGROUND:Almost every Western healthcare system is changing to make their services more centered around out-patient care. In particular, long-term or geriatric patients who have been discharged from the hospital often require home-based care and therapy. Therefore, several programs have been developed to continue the...
journal_title：BMC health services research
pub_type： 杂志文章,评审
doi：10.1186/1472-6963-10-291
更新日期：2010-10-14 00:00:00
