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Türkiye’de Özel Hemodiyaliz Merkezlerinin Maliyet Analizi

Cost Analysis of Private Hemodialysis Centers in Turkey

Journal Name:

Publication Year:

DOI: 
10.5262/tndt.2013.1003.07

Keywords (Original Language):

Abstract (2. Language): 
Chronic kidney disease is a worldwide public health problem. There is a continuing increase in the prevalence of patients on renal replacement therapies which causes an enormous economic burden to the healthcare system. Center hemodialysis is the most common type of renal replacement therapy in patients with end-stage renal disease. The aim of this study was to assess the cost of hemodialysis in private hemodialysis centers in Turkey. The study included a total of 296 centers with patient numbers between 51 and 150. The total number of patients treated in these centers was 26,659. The mean cost per hemodialysis session was calculated as 163.5 TL whereas the prices reimbursed by the Social Security Institution was 145 TL per session. This gap has the potential to cause serious problems considering the continuing rise in the number of hemodialysis patients. The healthcare authorities should search for solutions to decrease the expenses and an optimal price for reimbursement should be determined.
Abstract (Original Language): 
Kronik böbrek hastalığı tüm dünyada önemli bir halk sağlığı sorunudur. Renal replasman tedavisi gören hastaların prevalansı giderek artmakta ve bu durum sağlık sistemlerine ciddi bir ekonomik yük getirmektedir. Merkez hemodiyalizi, son dönem böbrek yetersizliği olan hastalarda en sık uygulanan renal replasman tedavisi yöntemidir. Bu çalışmanın amacı, Türkiye’de özel hemodiyaliz m erkezlerindeki diyaliz maliyet analizinin yapılmasıdır. Bu amaçla, hasta sayısı 51 ile 150 arasında değişen toplam 296 özel merkez çalışmaya alınmıştır. Bu merkezlerde tedavi edilen toplam 26,659 hasta bulunmaktaydı. Yapılan analiz sonucunda seans başına ortalama maliyet 163,5 TL olarak hesaplanmıştır. Buna karşılık Sosyal Güvenlik Kurumu’nun seans başına geri ödemesi 145 TL’dir. Hemodiyaliz hastalarının sayılarının giderek artmakta olduğu gözönüne alınacak olursa, bu farklılık önemli sorunlara yol açabilir. Sağlık hizmeti veren otoriteler hemodiyaliz maliyetini azaltmak için çözümler bulmalı ve en uygun geri ödeme miktarı belirlenmelidir.
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