COST OF ILLNESS OF HEMODIALYSIS PATIENTS AT THONG NHAT HOSPITAL IN 2022

Thị Hồng Nguyên Trần1, Thị Kiều Nga Đặng1, Đình Luyến Phạm1, Đặng Tú Nguyên Lê1,2, Thị Thu Hiền Phạm2, Bách Nguyễn2, Đình Thanh Lê2,
1 University of Medicine and Pharmacy at Ho Chi Minh City
2 Thong Nhat Hospital, Ho Chi Minh City

Main Article Content

Abstract

Background: Chronic kidney disease poses a global public health challenge, with substantial economic implications for healthcare budgets. Methods: A retrospective cross-sectional study analyzes the direct medical costs incurred by hemodialysis (HD) patients in the Department of Nephrology - Dialysis at Thong Nhat Hospital in 2022. Results: Our analysis includes 44 HD outpatients. The cost of treatment/year for HD patients at Thong Nhat Hospital is 130,399,119 VND (119,572,241 - 141,511,275), of which health insurance covers 93.59%. Cost of dialysis represent the largest share of these costs, accounting for 59.51%. Furthermore, cost of drugs constitutes the second-largest component, contributing 35.63% to the overall treatment cost structure. Our findings indicate no statistically significant differences in treatment costs among patient groups (p > 0.05). Conclusion: This study underscores the substantial economic burden carried by HD patients, particularly from the perspective of third-party payers such as health insurance.

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References

Cockwell P, Fisher LA. The global burden of chronic kidney disease. The Lancet. 2020;395(10225):662–4.
2. American Society of Nephrology (ASN) European Renal Association – European Dialysis and Transplant Association (ERA-EDTA) International Society of Nephrology (ISN). https://www.asn-online.org/news/2018/ 0626-Joint_Hidden_Epidem.pdf. 2018. The Hidden Epidemic: Worldwide, Over 850 Million People Suffer From Kidney Diseases.
3. Mushi L, Marschall P, Fleßa S. The cost of dialysis in low and middle-income countries: a systematic review. BMC Health Serv Res. 2015;15:1–10.
4. Bùi Bích Liên, Nguyễn Mạnh Dũng. Khảo sát sự cải thiện chức năng thận và chi phí y tế của người bệnh suy thận mạn giai đoạn cuối được điều trị bằng chạy thận nhân tạo và ghép thận sau một năm tại Bệnh viện Trung ương Quân đội 108. tạp chí y dược lâm sàng 108. 2023;2/2023.
5. Kassa DA, Mekonnen S, Kebede A, Haile TG. Cost of hemodialysis treatment and associated factors among end-stage renal disease patients at the tertiary hospitals of Addis Ababa City and Amhara Region, Ethiopia. ClinicoEconomics and Outcomes Research. 2020;399–409.
6. Nguyen-Thi HY, Le-Phuoc TN, Tri Phat N, Truong Van D, Le-Thi TT, Le NDT, et al. The Economic Burden of Chronic Kidney Disease in Vietnam. Health Serv Insights. 2021;14:11786329211036012.
7. Webster AC, Nagler E V, Morton RL, Masson P. Chronic kidney disease. The lancet. 2017;389(10075):1238–52.