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Assessing the financial burden of hemodialysis treatment in Malaysia

Nur Fatin Aqilah Mohd Fadzli1, Ali Aminuddin Mohd Rasani1, Soon Lean Keng1

  • 1School of Health Sciences, Health Campus, Universiti Sains Malaysia, Kelantan, Malaysia.

Belitung Nursing Journal
|July 27, 2023
PubMed

Insights

Many hemodialysis patients face moderate financial burdens, particularly those in lower income brackets. Employment status, salary, and income class significantly impact this financial strain.

Area of Science:

  • Nephrology
  • Health Economics
  • Public Health

Background:

  • Chronic kidney disease (CKD) management, particularly hemodialysis (HD), incurs significant costs for patients.
  • Socioeconomic status is increasingly recognized as a critical factor influencing the financial burden of CKD treatment.
  • The financial strain on CKD patients presents a growing challenge within the healthcare community.

Purpose of the Study:

  • To evaluate the financial burden associated with hemodialysis treatment.
  • To assess the impact of socioeconomic factors on the financial strain experienced by HD patients in Malaysia.

Main Methods:

  • A cross-sectional study was conducted in a Malaysian tertiary teaching hospital's HD unit.
  • Data were collected from 100 HD patients using self-administered questionnaires covering socio-demographics, finances, and healthcare utilization.
  • Pearson Chi-Square tests were employed for data analysis.

Main Results:

  • Over half (52%) of the 100 HD patients reported moderate financial burdens.
  • Financial burden was significantly associated with employment status, salary, and income class (p <0.05).
  • A substantial proportion of Malaysian HD patients belonged to the B40 (lower income) group.

Conclusions:

  • Financial burdens significantly affect hemodialysis patients in Malaysia, correlating with employment and income levels.
  • Identifying the financial needs of HD patients is crucial for effective nursing practice and support.
  • Addressing the socioeconomic determinants of health is vital for improving outcomes in CKD management.
Abstract

Keywords:
Malaysiachronic kidney diseasefinancial burdenhealth care costhemodialysisnursingrenal dialysis

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