Affiliation:
1. Division of Nephrology, Department of Medicine, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Bangkok, Thailand
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.
Subject
Nephrology,General Medicine
Cited by
10 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献