Increased utilization of peritoneal dialysis to cope with mounting demand for renal replacement therapy--perspectives from Asian countries.
With the number of end-stage renal disease (ESRD) patients growing, one of the crucial questions facing health care professionals and funding agencies in Asia is whether funding for dialysis will be sufficient to keep up with demand. During the ISPD's 2006 Congress, academic nephrologists and government officials from China, Hong Kong, India, Indonesia, Japan, Macau, Malaysia, Philippines, Singapore, Taiwan, Thailand, and Vietnam participated in a roundtable discussion on dialysis economics in Asia. The focus was policy and health care financing. The roundtable addressed ESRD growth in Asia and how to obtain enough funding to keep up with the growth in patient numbers. Various models were presented: the "peritoneal dialysis (PD) first" policy model, incentive programs, nongovernmental organizations providing PD, and PD reimbursement in a developing economy. This article summarizes the views of the participant nephrologists on how to increase the utilization of PD to improve on clinical and financial management of patients with ESRD.
Li
Philip Kam-Tao
PK
Division of Nephrology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong SAR, PR China. philipli@cuhk.edu.hk
Lui
Sing Leung
SL
Leung
Chi Bon
CB
Yu
Alex Wai-Yin
AW
Lee
Evan
E
Just
Paul M
PM
Abraham
Georgi
G
Almazan-Gomez
Lynn
L
Huang
Chiu Ching
CC
Hooi
Lai Seong
LS
Kawaguchi
Yoshindo
Y
Kuok
Un I
UI
Tungsanga
Kriang
K
Wang
Tao
T
Wong
Andrew Kui-Man
AK
Yu
Xue-Qing
XQ
Lo
Wai Kei
WK
D006801:Humans; D001208:Asia / Q000453:epidemiology; D006291:Health Policy / Q000191:economics; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000628:therapy; D010530:Peritoneal Dialysis / Q000191:economics / Q000706:statistics & numerical data