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The Cost of Maintenance Haemodialysis. Edition No. 1

VDM Publishing House, May 2010, Pages: 164

An economic evaluation from the health care institution and service provider perspective was done to determine if Satellite haemodialysis (SHD) is less costly than In-centre haemodialysis (ICHD) in Nova Scotia. ICHD patients suitable for satellite units were compared to patients receiving treatment in satellite units. For final comparison, a yearly cost per patient in year 2000 Canadian dollars was determined. The cost per year was $43,939.48 for ICHD, and $41,900.49 for SHD. Increasing the number of patients in the SHD unit to similar capacity as the ICHD unit resulted in decreases in nursing and supplying costs, which decreased the yearly cost of SHD to $28,446.49. From the health care institution and service provider perspective SHD is less expensive than ICHD only if SHD units have enough patients to allow savings in nursing and specific fixed resource costs.

Steven D, Soroka.
Steven D. Soroka,BMus,MD,MSc,FRCPC,CHE is an Associate Professor in the Division of Nephrology of the Faculty of Medicine at Dalhousie University. He is Medical Director of the CDHA Pre-dialysis, Hemodialysis, Nephrology Clinical Trials, and a medical advisor to the Nova Scotia Provincial Renal Program.