title: [Direct cost analysis of hemodialysis units].
abstract: OBJECTIVE
  To estimate and compare direct costs per hemodialysis session in public and private units in Mexico City.
  
  
  METHODS
  PAATI, a microcosting strategy, was used to determine total costs of four public and two private health hospitals in Mexico City. A "shadow study" approach was employed to collect the needed data. Charts containing the "PAATI" information for each session were developed in Microsoft Excel.
  
  
  RESULTS
  The average annual cost per patient undergoing hemodialysis in public units is $158 964.00 MX. The estimated cost for the care of all population estimated in need of renal replacement therapy (via hemodialysis) was estimated to be $10 921 788 072.00 MX.
  
  
  CONCLUSIONS
  Human resources and infrastructure availability in México are very limited for nephrology, and in consequence for offering hemodialysis services.
authors.affiliation: Facultad de Medicina, Universidad Nacional Autónoma de México, México.
authors.forename: Luis
authors.initials: L
authors.lastname: Durán-Arenas
authors.forename: Paula D
authors.initials: PD
authors.lastname: Avila-Palomares
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Zendejas-Villanueva
authors.forename: María Magaly
authors.initials: MM
authors.lastname: Vargas-Ruiz
authors.forename: Laura L
authors.initials: LL
authors.lastname: Tirado-Gómez
authors.forename: Malaquías
authors.initials: M
authors.lastname: López-Cervantes
mesh_terms: D000554:Ambulatory Care Facilities / Q000191:economics*; D003365:Costs and Cost Analysis; D004180:Direct Service Costs; D006801:Humans; D008800:Mexico; D017149:Private Sector; D017150:Public Sector; D006435:Renal Dialysis / Q000191:economics*