title: Increased utilization of peritoneal dialysis to cope with mounting demand for renal replacement therapy--perspectives from Asian countries.
abstract: 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.
authors.affiliation: 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
authors.forename: Philip Kam-Tao
authors.initials: PK
authors.lastname: Li
authors.forename: Sing Leung
authors.initials: SL
authors.lastname: Lui
authors.forename: Chi Bon
authors.initials: CB
authors.lastname: Leung
authors.forename: Alex Wai-Yin
authors.initials: AW
authors.lastname: Yu
authors.forename: Evan
authors.initials: E
authors.lastname: Lee
authors.forename: Paul M
authors.initials: PM
authors.lastname: Just
authors.forename: Georgi
authors.initials: G
authors.lastname: Abraham
authors.forename: Lynn
authors.initials: L
authors.lastname: Almazan-Gomez
authors.forename: Chiu Ching
authors.initials: CC
authors.lastname: Huang
authors.forename: Lai Seong
authors.initials: LS
authors.lastname: Hooi
authors.forename: Yoshindo
authors.initials: Y
authors.lastname: Kawaguchi
authors.forename: Un I
authors.initials: UI
authors.lastname: Kuok
authors.forename: Kriang
authors.initials: K
authors.lastname: Tungsanga
authors.forename: Tao
authors.initials: T
authors.lastname: Wang
authors.forename: Andrew Kui-Man
authors.initials: AK
authors.lastname: Wong
authors.forename: Xue-Qing
authors.initials: XQ
authors.lastname: Yu
authors.forename: Wai Kei
authors.initials: WK
authors.lastname: Lo
mesh_terms: 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