File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Dialysis Care and Dialysis Funding in Asia

TitleDialysis Care and Dialysis Funding in Asia
Authors
KeywordsDialysis
end-stage renal disease (ESRD)
Asia
geographical differences
health care policy
Issue Date2020
PublisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/ajkd
Citation
American Journal of Kidney Diseases, 2020, v. 75 n. 5, p. 772-781 How to Cite?
AbstractAsia is the largest and most populated continent in the world, with a high burden of kidney failure. In this Policy Forum article, we explore dialysis care and dialysis funding in 17 countries in Asia, describing conditions in both developed and developing nations across the region. In 13 of the 17 countries surveyed, diabetes is the most common cause of kidney failure. Due to great variation in gross domestic product per capita across Asian countries, disparities in the provision of kidney replacement therapy (KRT) exist both within and between countries. A number of Asian nations have satisfactory access to KRT and have comprehensive KRT registries to help inform practices, but some do not, particularly among low- and low-to-middle-income countries. Given these differences, we describe the economic status, burden of kidney failure, and cost of KRT across the different modalities to both governments and patients and how changes in health policy over time affect outcomes. Emerging trends suggest that more affluent nations and those with universal health care or access to insurance have much higher prevalent dialysis and transplantation rates, while in less affluent nations, dialysis access may be limited and when available, provided less frequently than optimal. These trends are also reflected by an association between nephrologist prevalence and individual nations’ incomes and a disparity in the number of nephrologists per million population and per thousand KRT patients.
Persistent Identifierhttp://hdl.handle.net/10722/293681
ISSN
2019 Impact Factor: 6.618
2015 SCImago Journal Rankings: 2.313

 

DC FieldValueLanguage
dc.contributor.authorTang, SCW-
dc.contributor.authorYu, X-
dc.contributor.authorChen, HC-
dc.contributor.authorKashihara, N-
dc.contributor.authorPark, HC-
dc.contributor.authorLiew, A-
dc.contributor.authorGoh, BL-
dc.contributor.authorNazareth, MGC-
dc.contributor.authorBunnag, S-
dc.contributor.authorTan, J-
dc.contributor.authorLun, V-
dc.contributor.authorLydia, A-
dc.contributor.authorSharma, SK-
dc.contributor.authorHoque, E-
dc.contributor.authorTogtokh, A-
dc.contributor.authorGhnaimet, M-
dc.contributor.authorJha, V-
dc.date.accessioned2020-11-23T08:20:17Z-
dc.date.available2020-11-23T08:20:17Z-
dc.date.issued2020-
dc.identifier.citationAmerican Journal of Kidney Diseases, 2020, v. 75 n. 5, p. 772-781-
dc.identifier.issn0272-6386-
dc.identifier.urihttp://hdl.handle.net/10722/293681-
dc.description.abstractAsia is the largest and most populated continent in the world, with a high burden of kidney failure. In this Policy Forum article, we explore dialysis care and dialysis funding in 17 countries in Asia, describing conditions in both developed and developing nations across the region. In 13 of the 17 countries surveyed, diabetes is the most common cause of kidney failure. Due to great variation in gross domestic product per capita across Asian countries, disparities in the provision of kidney replacement therapy (KRT) exist both within and between countries. A number of Asian nations have satisfactory access to KRT and have comprehensive KRT registries to help inform practices, but some do not, particularly among low- and low-to-middle-income countries. Given these differences, we describe the economic status, burden of kidney failure, and cost of KRT across the different modalities to both governments and patients and how changes in health policy over time affect outcomes. Emerging trends suggest that more affluent nations and those with universal health care or access to insurance have much higher prevalent dialysis and transplantation rates, while in less affluent nations, dialysis access may be limited and when available, provided less frequently than optimal. These trends are also reflected by an association between nephrologist prevalence and individual nations’ incomes and a disparity in the number of nephrologists per million population and per thousand KRT patients.-
dc.languageeng-
dc.publisherWB Saunders Co. The Journal's web site is located at http://www.elsevier.com/locate/ajkd-
dc.relation.ispartofAmerican Journal of Kidney Diseases-
dc.subjectDialysis-
dc.subjectend-stage renal disease (ESRD)-
dc.subjectAsia-
dc.subjectgeographical differences-
dc.subjecthealth care policy-
dc.titleDialysis Care and Dialysis Funding in Asia-
dc.typeArticle-
dc.identifier.emailTang, SCW: scwtang@hku.hk-
dc.identifier.authorityTang, SCW=rp00480-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1053/j.ajkd.2019.08.005-
dc.identifier.pmid31699518-
dc.identifier.scopuseid_2-s2.0-85075474191-
dc.identifier.hkuros319447-
dc.identifier.volume75-
dc.identifier.issue5-
dc.identifier.spage772-
dc.identifier.epage781-
dc.publisher.placeUnited States-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats