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[Direct cost analysis of hemodialysis units]
Luis Durán-Arenas1, Paula D Avila-Palomares, Rodrigo Zendejas-Villanueva
1Facultad de Medicina, Universidad Nacional Autónoma de México, México.
Objective:
To estimate and compare direct costs per hemodialysis session in public and private units in Mexico City.
Material And 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.
Conclusion:
Human resources and infrastructure availability in México are very limited for nephrology, and in consequence for offering hemodialysis services.
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