Healthcare utilization and expenditure among individuals with end-stage kidney disease in Taiwan

Journal of the Formosan Medical Association

Te-Hui Kuo¹  Chia-Chun Lee²  Junne-Ming Sung²  Chih-Cheng Hsu³  Ming-Huang Lin³ 

[1] Corresponding author.;Division of Nephrology, Department of Internal Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan;Institute of Population Health Sciences, National Health Research Institutes, Miaoli County, Taiwan;

关键词: Cost;    End-stage kidney disease;    Utilization;   

DOI  :  

来源: DOAJ

【 摘 要 】

Background/Purpose: The prevalence of end-stage kidney disease (ESKD) in Taiwan has been increasing in recent decades. ESKD care and medical expenditures constitute an important part of the entire healthcare system. Methods: This study analyzed data collected from the National Health Insurance (NHI) Research Database from 2010 to 2018. Results: The annual medical cost increased by approximately 4% both in the entire Taiwanese population and in its ESKD population. The total medical expenditure in the ESKD population from 2010 to 2018 increased from 48.03 to 65.65 billion reimbursement points, with dialysis treatments costing higher than non-dialysis treatments. ESKD outpatient and inpatient costs accounted for 10.4%–11.1% and 4.8%–5.6% of the entire NHI expenditure, respectively. The leading cause of inpatient costs was circulatory diseases, accounting for 29.3% of the total ESKD inpatient costs in 2018. Furthermore, percutaneous coronary intervention had the highest cost followed by simple percutaneous transluminal angioplasty. In 2018, the hemodialysis population had the highest average monthly cost of 73 thousand points per person, while the kidney transplant population had the lowest average monthly cost of 39 thousand points per person. Conclusion: Medical expenditure, including both inpatient and outpatient costs, of the ESKD population continued to grow from 2010 to 2018. The non-dialysis cost in the ESKD population was mainly for cardiovascular disease management and vascular access care, for which prevention will always be challenging.

【 授权许可】

Unknown