Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • News & Views
  • Published:

Dialysis

Choice of dialysis—what to do with economic incentives

A survey of seven countries has found a striking difference in dialysis reimbursement policies, even when data were adjusted for gross domestic product per capita. Although increased reimbursement is perceived to be a valuable incentive for certain treatments, this perception is not supported by current data and alternative strategies to promote home-based dialysis should be pursued.

This is a preview of subscription content, access via your institution

Relevant articles

Open Access articles citing this article.

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1: Variation in reimbursement per week for self-care haemodialysis and CAPD services and correlations with the proportion of patients on peritoneal dialysis.1,2

References

  1. Jain, A. K., Blake, P., Cordy, P. & Garg, A. X. Global trends in rates of peritoneal dialysis. J. Am. Soc. Nephrol. 23, 533–544 (2012).

    Article  Google Scholar 

  2. Vanholder, R. et al. Reimbursement of dialysis: a comparison of seven countries. J. Am. Soc. Nephrol. http://dx.doi.org/10.1681/ASN.2011111094.

  3. Li, P. K. et al. Increasing home based dialysis therapies to tackle dialysis burden around the world: a position statement on dialysis economics from the 2nd Congress of the International Society for Hemodialysis. Nephrology (Carlton) 16, 53–56 (2011).

    Article  Google Scholar 

  4. Just, P. M. et al. Economic evaluations of dialysis treatment modalities. Health Policy 86, 163–180 (2008).

    Article  Google Scholar 

  5. Li, P. K. & Chow, K. M. Peritoneal dialysis patient selection: characteristics for success. Adv. Chronic Kidney Dis. 16, 160–168 (2009).

    Article  CAS  Google Scholar 

  6. Dor, A., Pauly, M. V., Eichleay, M. A. & Held, P. J. End-stage renal disease and economic incentives: the International Study of Health Care Organization and Financing (ISHCOF). Int. J. Health Care Finance Econ. 7, 73–111 (2007).

    Article  Google Scholar 

  7. Kleophas, W. & Reichel, H. International study of health care organization and financing: development of renal replacement therapy in Germany. Int. J. Health Care Finance Econ. 7, 185–200 (2007).

    Article  Google Scholar 

  8. Mendelssohn, D. C., Langlois, N. & Blake, P. G. Peritoneal dialysis in Ontario: a natural experiment in physician reimbursement methodology. Perit. Dial. Int. 24, 531–537 (2004).

    PubMed  Google Scholar 

  9. Li, P. K. & Szeto, C. C. Success of the peritoneal dialysis programme in Hong Kong. Nephrol. Dial. Transplant. 23, 1475–1478 (2008).

    Article  Google Scholar 

Download references

Acknowledgements

The authors' research work is supported in part by the Richard Yu Chinese University of Hong Kong Peritoneal Dialysis Research Fund.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Philip Kam-Tao Li.

Ethics declarations

Competing interests

P. K.-T. Li declares that he has acted as Principal Investigator for a clinical trial conducted by Baxter and as a member of a Baxter Trial Advisory Board. He has also received speaker honoraria from Astellas, Baxter, Fresenius and Roche. K. M. Chow declares no competing interests.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chow, K., Li, PT. Choice of dialysis—what to do with economic incentives. Nat Rev Nephrol 8, 495–496 (2012). https://doi.org/10.1038/nrneph.2012.165

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/nrneph.2012.165

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing