| Summary: | Introduction: End Stage Renal Diseases (ESRD) becomes a serious healthcare
problem because of the increasing prevalence of RRT and healthcare costs. ESRD
patients need Renal Replacement Therapy (RRT). There are two types of RRT :
Hemodialysis (HD) and Continuous Ambulatory Peritoneal Dialysis (CAPD).
Several previous studies showed that CAPD has more advantage than HD, but it
was still debated. The treatment results were influenced by the background of the
country and the healthcare cost system.
Aims: The aim of the study was to compare between HD costs and CAPD cost
covered by PT. Askes (Persero) or known as the insurance medical cost and out of
pocket cost from the patients.
Methods: This study was an observational comparative study with descriptive
analytical design. The data of insurance cost was obtained from Askes data base,
whereas the patient cost was taken by questionnaires. The subjects were 59
patients undergoing HD and 50 patients undergoing CAPD in the center of HD
provided by PT. Askes (Persero) Regional Division VI. Random sampling was
conducted with consecutive sampling system.
Results: The median of HD insurance medical expense was
Rp. 5.949.234/person/month, while CAPD was Rp. 5.023.792/person/month.
There were also medical and non-medical cost paid by the patients. these median
were Rp. 287.208/person/month for HD patients and Rp. 323.000/person/month
for CAPD patients. 30,5 % of HD patients and 22 % of CAPD patients got their
income decreased, whereas the patient family that got decreased their income
were 10 % of HD patient family and 6 % of CAPD patient family. The median of
the income reduction among HD patients and HD patient family was
Rp. 2.250.000/person/month, whereas CAPD patients and CAPD patient family
was Rp. 2.125.000/person/month.
Conclusion: The median of HD insurance medical cost was higher than that of
CAPD. Compared to CAPD, the median patient expense (medical and nonmedical)
was lower in HD. The median of the income deduction among HD
patients and HD patient family was bigger than the one in CAPD patient and
CAPD patient family.
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