Cost analysis of establishing dialysis facilities for the treatment of chronic renal failure in Greenland.
(11/57)
OBJECTIVES: At present there are no facilities offering treatment for chronic renal failure with dialysis in Greenland. Patients in need of treatment must go to Denmark. It has been proposed that treatment facilities should be established at Dronning Ingrids Hospital in Nuuk, Greenland. The objective of this study is to explore the costs of such an alternative compared with the situation today. METHODS: The costs of establishing dialysis facilities in Nuuk, Greenland, and providing dialysis for Greenlandic patients were compared with the costs of the current way of managing dialysis for Greenlandic patients in need of treatment. Data for the study were collected from publicly available statistics, from Dronning Ingrids Hospital in Nuuk and from Rigshospitalet in Copenhagen. RESULTS: The actual number of patients in dialysis was found to be lower than expected. Based on Danish prevalence statistics, it was expected that about 27 persons in Greenland would be in dialysis each year. Over a time horizon of 10 years, the additional costs of establishing and offering dialysis treatment in Nuuk were expected to amount to an average of 1.4 million Danish kroner (euro190,000) per year compared with the current treatment costs. Results were sensitive to the demand for dialysis treatment among people in need of treatment. If all patients in need of dialysis were treated, the additional costs of establishing dialysis facilities and providing treatment in Nuuk were estimated to about 7 million Danish Kroner (euro930,000) per year compared with the status quo. CONCLUSIONS: Changes in the demand for dialysis treatment may influence the cost of establishing treatment facilities in Nuuk. (+info)
Reasons of preclusion of living-related donor renal transplants in Oman.
(12/57)
OBJECTIVES: Renal transplant, especially from genetically related living-donors, is associated with excellent results. The security and free will of the donor are of paramount importance. A significant percentage of such transplants are not accomplished for both medical and nonmedical reasons. MATERIALS AND METHODS: We looked retrospectively into the causes of nonaccomplishment of renal transplants from living-related donor transplants at our center from January 2006 through June 2008. RESULTS: During this period, 69 and 99 potential renal transplant recipient and donors were investigated. Transplants could be performed only in 35 patients (51%). About 59% of the donors were rejected or declined. Reasons for exclusion were immunologic in 14 donors (14%). Medical and nonmedical conditions precluded donation in 35 donors (35%) and 12 donors (12%). Medical reasons consisted mainly of undiagnosed hypertension, obesity, diabetes mellitus, and renal anomalies. In the recipients, the major reason was option for transplant tourism, occurred in 11 cases (16%). CONCLUSIONS: A substantial number of investigated recipients and donors for living-related transplant are not accomplished. The major reasons are medical for the donor and transplant tourism for the recipient. (+info)
Quality in health care and globalization of health services: accreditation and regulatory oversight of medical tourism companies.
(13/57)