The status of, and obstacles to, continuous ambulatory peritoneal dialysis in Thailand.
Perit Dial Int
; 28 Suppl 3: S53-8, 2008 Jun.
Article
in En
| MEDLINE
| ID: mdl-18552265
ABSTRACT
The prevalence of dialysis in Thailand is 282 per million population, and utilization of peritoneal dialysis (PD) is only 4.6% of the utilization of hemodialysis (HD). The causes of low PD utilization include a relatively higher cost of PD care, especially from the patient's perspective; less incentive for PD care on the part of health care providers and hospitals; fewer continuing medical and nursing education programs in PD; unavailability of certified PD nurses; lack of confidence in the quality of PD care; fewer offers of PD as a renal replacement therapy option during pre-dialysis counseling; fear of peritonitis on the part of the patient, and also fear of burdening family members; a less stringent government policy regarding the "PD first" strategy. To increase PD utilization. mandatory strategies are lower PD cost, make all PD equipment reimbursable, launch a stringent "PD first" policy, provide incentives to health care providers and hospitals, and improve the quality of PD care.
Search on Google
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Patient Acceptance of Health Care
/
Peritoneal Dialysis, Continuous Ambulatory
/
Kidney Failure, Chronic
Type of study:
Risk_factors_studies
Limits:
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
Perit Dial Int
Journal subject:
NEFROLOGIA
Year:
2008
Document type:
Article
Affiliation country:
Thailand