Can economic incentives increase the use of home dialysis?

Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association
Braden J MannsPeter Magner

Abstract

There are advantages to home dialysis for patients, and kidney care programs, but use remains low in most countries. Health-care policy-makers have many levers to increase use of home dialysis, one of them being economic incentives. These include how health-care funding is provided to kidney care programs and dialysis facilities; how physicians are remunerated for care of home dialysis patients; and financial incentives-or removal of disincentives-for home dialysis patients. This report is based on a comprehensive literature review summarizing the impact of economic incentives for home dialysis and a workshop that brought together an international group of policy-makers, health economists and home dialysis experts to discuss how economic incentives (or removal of economic disincentives) might be used to increase the use of home dialysis. The results of the literature review and the consensus of workshop participants were that financial incentives to dialysis facilities for home dialysis (for instance, through activity-based funding), particularly in for-profit systems, could lead to a small increase in use of home dialysis. The evidence was less clear on the impact of economic incentives for nephrologists, and participants felt...Continue Reading

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Citations

Dec 11, 2019·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Mathilde BeaumierValérie Châtelet
Jan 4, 2020·Seminars in Dialysis·Aaron GlickmanJeffrey S Berns
Mar 18, 2020·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Wim Van Biesen, Norbert Lameire
Jan 17, 2020·Seminars in Dialysis·Graham Abra, Brigitte Schiller
Aug 28, 2020·Canadian Journal of Kidney Health and Disease·Lucas DiebelBhanu Prasad
Jun 27, 2020·Clinical Journal of the American Society of Nephrology : CJASN·Marcello TonelliJonathan Himmelfarb
Sep 14, 2019·Canadian Journal of Kidney Health and Disease·Drew HagerPaul Komenda
Nov 6, 2020·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Angel Argilés, Peter G Kerr
Mar 30, 2021·Kidney International Supplements·Anjay Rastogi, Edgar V Lerma
May 11, 2021·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Peter G BlakeRebecca Cooper
May 30, 2021·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Yuvaram N V ReddyEric D Weinhandl
Jul 30, 2021·Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis·Graham Abra, Eric D Weinhandl

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