Dataset Information

An Economic Assessment Model of Rural and Remote Satellite Hemodialysis Units.

ABSTRACT:

Background

Kidney Failure is epidemic in many remote communities in Canada. In-centre hemodialysis is provided within these settings in satellite hemodialysis units. The key cost drivers of this program have not been fully described. Such information is important in informing the design of programs aimed at optimizing efficiency in providing dialysis and preventative chronic kidney disease care in remote communities.

Design, setting, participants, and measurements

We constructed a cost model based on data derived from 16 of Manitoba, Canada's remote satellite units. We included all costs for operation of the unit, transportation, treatment, and capital costs. All costs were presented in 2013 Canadian dollars.

Results

The annual per-patient cost of providing hemodialysis in the satellite units ranged from $80,372 to $215,918 per patient, per year. The median per patient, per year cost was $99,888 (IQR $89,057-$122,640). Primary cost drivers were capital costs related to construction, human resource expenses, and expenses for return to tertiary care centres for health care. Costs related to transport considerably increased estimates in units that required plane or helicopter transfers.

Conclusions

Satellite hemodialysis units in remote areas are more expensive on a per-patient basis than hospital hemodialysis and satellite hemodialysis available in urban areas. In some rural, remote locations, better value for money may reside in local surveillance and prevention programs in addition support for home dialysis therapies over construction of new satellite hemodialysis units.

SUBMITTER: Ferguson TW

PROVIDER: S-EPMC4540589 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

An Economic Assessment Model of Rural and Remote Satellite Hemodialysis Units.

Ferguson Thomas W TW Zacharias James J Walker Simon R SR Collister David D Rigatto Claudio C Tangri Navdeep N Komenda Paul P

PloS one 20150818 8

<h4>Background</h4>Kidney Failure is epidemic in many remote communities in Canada. In-centre hemodialysis is provided within these settings in satellite hemodialysis units. The key cost drivers of this program have not been fully described. Such information is important in informing the design of programs aimed at optimizing efficiency in providing dialysis and preventative chronic kidney disease care in remote communities.<h4>Design, setting, participants, and measurements</h4>We constructed a ...[more]

PMID: 26284357

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Dataset Information

An Economic Assessment Model of Rural and Remote Satellite Hemodialysis Units.

Background

Design, setting, participants, and measurements

Results

Conclusions

Publications

An Economic Assessment Model of Rural and Remote Satellite Hemodialysis Units.

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