The present status of dialysis patients in Asian countries as of 2022 from a medical economic point of view
Abstract In Japan, Mongolia, and Indonesia, dialysis care has been covered by national health insurance and social welfare programs as of 2022, which covers much of the cost burden. However, the proportion of this burden varies by country and Japan is the only one of these countries in which medical...
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| Format: | Article |
| Language: | English |
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BMC
2025-01-01
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| Series: | Renal Replacement Therapy |
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| Online Access: | https://doi.org/10.1186/s41100-024-00597-1 |
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| author | Toru Hyodo Nobuhito Hirawa Takahiro Kuragano Yoshiaki Takemoto Shunichiro Urabe Saruultuvshin Adiya Khurtsbayar Damdinsuren Bukhchuluu Munaa Alimaa Yondontsamts Ariunbold Jamba Munkhzul Dolgorsuren Oyunchimeg Maamkhuu Chuluuntsetseg Dorj I. Gde Raka Widiana |
| author_facet | Toru Hyodo Nobuhito Hirawa Takahiro Kuragano Yoshiaki Takemoto Shunichiro Urabe Saruultuvshin Adiya Khurtsbayar Damdinsuren Bukhchuluu Munaa Alimaa Yondontsamts Ariunbold Jamba Munkhzul Dolgorsuren Oyunchimeg Maamkhuu Chuluuntsetseg Dorj I. Gde Raka Widiana |
| author_sort | Toru Hyodo |
| collection | DOAJ |
| description | Abstract In Japan, Mongolia, and Indonesia, dialysis care has been covered by national health insurance and social welfare programs as of 2022, which covers much of the cost burden. However, the proportion of this burden varies by country and Japan is the only one of these countries in which medical fees are fully covered for all dialysis patients. As systems for dialysis medical care coverage have been established, the number of dialysis patients has increased dramatically in each country. However, the cost of dialysis treatment itself is very high relative to personal income in all countries. This puts pressure on national healthcare budgets and gives rise to concerns about the sustainability of dialysis care in the future. Peritoneal dialysis (PD) is less expensive than hemodialysis (HD) in Mongolia and Indonesia, and a PD-first policy is considered effective in reducing costs. Nevertheless, an overwhelming number of patients still undergo HD. Despite the difficulties faced by these three countries in obtaining funds for dialysis treatment, among Asian countries, Mongolia and Indonesia are considered to have relatively advanced healthcare systems. It is considered that there has been progress in the provision of dialysis treatment subsidies to the citizens of these countries. |
| format | Article |
| id | doaj-art-f6dc5fc4051e4a04a189f83a5829aa5c |
| institution | Kabale University |
| issn | 2059-1381 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Renal Replacement Therapy |
| spelling | doaj-art-f6dc5fc4051e4a04a189f83a5829aa5c2025-01-12T12:40:37ZengBMCRenal Replacement Therapy2059-13812025-01-0111111110.1186/s41100-024-00597-1The present status of dialysis patients in Asian countries as of 2022 from a medical economic point of viewToru Hyodo0Nobuhito Hirawa1Takahiro Kuragano2Yoshiaki Takemoto3Shunichiro Urabe4Saruultuvshin Adiya5Khurtsbayar Damdinsuren6Bukhchuluu Munaa7Alimaa Yondontsamts8Ariunbold Jamba9Munkhzul Dolgorsuren10Oyunchimeg Maamkhuu11Chuluuntsetseg Dorj12I. Gde Raka Widiana13The Committee of International Communication for Academic Research of the Japanese Society for Dialysis TherapyThe Committee of International Communication for Academic Research of the Japanese Society for Dialysis TherapyThe Committee of International Communication for Academic Research of the Japanese Society for Dialysis TherapyThe Japanese Society for Dialysis TherapyFaculty of Medical Science, Juntendo UniversityKidney Center, The First Central HospitalKidney Center, The First Central HospitalKidney Center, The First Central HospitalDornogovi Province General HospitalKidney Center, The First Central HospitalNephrology Department, The Third Central HospitalMinistry of HealthMinistry of HealthDivision of Nephrology and Hypertension, Department of Internal Medicine, Faculty of Medicine, Udayana UniversityAbstract In Japan, Mongolia, and Indonesia, dialysis care has been covered by national health insurance and social welfare programs as of 2022, which covers much of the cost burden. However, the proportion of this burden varies by country and Japan is the only one of these countries in which medical fees are fully covered for all dialysis patients. As systems for dialysis medical care coverage have been established, the number of dialysis patients has increased dramatically in each country. However, the cost of dialysis treatment itself is very high relative to personal income in all countries. This puts pressure on national healthcare budgets and gives rise to concerns about the sustainability of dialysis care in the future. Peritoneal dialysis (PD) is less expensive than hemodialysis (HD) in Mongolia and Indonesia, and a PD-first policy is considered effective in reducing costs. Nevertheless, an overwhelming number of patients still undergo HD. Despite the difficulties faced by these three countries in obtaining funds for dialysis treatment, among Asian countries, Mongolia and Indonesia are considered to have relatively advanced healthcare systems. It is considered that there has been progress in the provision of dialysis treatment subsidies to the citizens of these countries.https://doi.org/10.1186/s41100-024-00597-1Insurance system of dialysisLower-middle-income countryUpper-middle-income countryHigh-income countryMongoliaIndonesia |
| spellingShingle | Toru Hyodo Nobuhito Hirawa Takahiro Kuragano Yoshiaki Takemoto Shunichiro Urabe Saruultuvshin Adiya Khurtsbayar Damdinsuren Bukhchuluu Munaa Alimaa Yondontsamts Ariunbold Jamba Munkhzul Dolgorsuren Oyunchimeg Maamkhuu Chuluuntsetseg Dorj I. Gde Raka Widiana The present status of dialysis patients in Asian countries as of 2022 from a medical economic point of view Renal Replacement Therapy Insurance system of dialysis Lower-middle-income country Upper-middle-income country High-income country Mongolia Indonesia |
| title | The present status of dialysis patients in Asian countries as of 2022 from a medical economic point of view |
| title_full | The present status of dialysis patients in Asian countries as of 2022 from a medical economic point of view |
| title_fullStr | The present status of dialysis patients in Asian countries as of 2022 from a medical economic point of view |
| title_full_unstemmed | The present status of dialysis patients in Asian countries as of 2022 from a medical economic point of view |
| title_short | The present status of dialysis patients in Asian countries as of 2022 from a medical economic point of view |
| title_sort | present status of dialysis patients in asian countries as of 2022 from a medical economic point of view |
| topic | Insurance system of dialysis Lower-middle-income country Upper-middle-income country High-income country Mongolia Indonesia |
| url | https://doi.org/10.1186/s41100-024-00597-1 |
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