Provider cost and patient’s willingness to pay for hemodialysis treatment in Hemodialysis Unit, Hospital USM

The increase number of end stage renal failure (ESRD) patients requires for hemodialysis currently, variations in quality of care and escalation of healthcare cost become a burden on patients, families and the healthcare system. Thus, there is a need to conduct a study in order to estimate the re...

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Main Author: Radzi, Ummi Nabila
Format: Monograph
Language:English
Published: Universiti Sains Malaysia 2013
Subjects:
Online Access:http://eprints.usm.my/58902/1/UMMI%20NABILA%20BINTI%20RADZI%20-%20e.pdf
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author Radzi, Ummi Nabila
author_facet Radzi, Ummi Nabila
author_sort Radzi, Ummi Nabila
collection USM
description The increase number of end stage renal failure (ESRD) patients requires for hemodialysis currently, variations in quality of care and escalation of healthcare cost become a burden on patients, families and the healthcare system. Thus, there is a need to conduct a study in order to estimate the real cost of hemodialysis treatment per visit, their willingness to pay (WTP) and perception towards healthcare services. The study objectives are; to calculate the treatment cost of hemodialysis treatment at Hospital USM, to determine patient’s WTP for the treatment, and to assess the factors that influence patient’s WTP. A cross sectional study was conducted among 37 ESRD patients who received hemodialysis treatment at Hospital USM, Kelantan, Malaysia during the study period. Participants were selected purposively and a set of self administered questionnaire was used for data collection. While data for costing analysis was obtained from the Finance Department, Hospital USM that was previously prepared for the Casemix implementation (in 2012) in Hospital USM. Data was analyzed using Statistical Package for Social Science (SPSS) software version 20.0, includes linear regression test and non-parametric (Kruskal Wallis and Mann-Whitney) tests. The estimated cost of hemodialysis treatment is RM 136.22. The average amount of patient’s WTP for this treatment is RM 18.78 per visit. Age, education, income and family size were significantly associated to patient’s WTP. The majority of respondents (65%) is unwilling to pay for the treatment. However, patients of high education selfbackground and high monthly income were more willing to pay for hemodialysis treatment compared to the other group. In conclusion, there is a need to look for a standard clinical pathway for the management of ESRD patients. This is important to provide useful information for decision-makers to ensure effective resources allocation and the delivery of high-quality care.
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spelling usm.eprints-589022023-08-17T01:04:44Z http://eprints.usm.my/58902/ Provider cost and patient’s willingness to pay for hemodialysis treatment in Hemodialysis Unit, Hospital USM Radzi, Ummi Nabila RC870-923 Diseases of the genitourinary system. Urology The increase number of end stage renal failure (ESRD) patients requires for hemodialysis currently, variations in quality of care and escalation of healthcare cost become a burden on patients, families and the healthcare system. Thus, there is a need to conduct a study in order to estimate the real cost of hemodialysis treatment per visit, their willingness to pay (WTP) and perception towards healthcare services. The study objectives are; to calculate the treatment cost of hemodialysis treatment at Hospital USM, to determine patient’s WTP for the treatment, and to assess the factors that influence patient’s WTP. A cross sectional study was conducted among 37 ESRD patients who received hemodialysis treatment at Hospital USM, Kelantan, Malaysia during the study period. Participants were selected purposively and a set of self administered questionnaire was used for data collection. While data for costing analysis was obtained from the Finance Department, Hospital USM that was previously prepared for the Casemix implementation (in 2012) in Hospital USM. Data was analyzed using Statistical Package for Social Science (SPSS) software version 20.0, includes linear regression test and non-parametric (Kruskal Wallis and Mann-Whitney) tests. The estimated cost of hemodialysis treatment is RM 136.22. The average amount of patient’s WTP for this treatment is RM 18.78 per visit. Age, education, income and family size were significantly associated to patient’s WTP. The majority of respondents (65%) is unwilling to pay for the treatment. However, patients of high education selfbackground and high monthly income were more willing to pay for hemodialysis treatment compared to the other group. In conclusion, there is a need to look for a standard clinical pathway for the management of ESRD patients. This is important to provide useful information for decision-makers to ensure effective resources allocation and the delivery of high-quality care. Universiti Sains Malaysia 2013 Monograph NonPeerReviewed application/pdf en http://eprints.usm.my/58902/1/UMMI%20NABILA%20BINTI%20RADZI%20-%20e.pdf Radzi, Ummi Nabila (2013) Provider cost and patient’s willingness to pay for hemodialysis treatment in Hemodialysis Unit, Hospital USM. Project Report. Universiti Sains Malaysia. (Submitted)
spellingShingle RC870-923 Diseases of the genitourinary system. Urology
Radzi, Ummi Nabila
Provider cost and patient’s willingness to pay for hemodialysis treatment in Hemodialysis Unit, Hospital USM
title Provider cost and patient’s willingness to pay for hemodialysis treatment in Hemodialysis Unit, Hospital USM
title_full Provider cost and patient’s willingness to pay for hemodialysis treatment in Hemodialysis Unit, Hospital USM
title_fullStr Provider cost and patient’s willingness to pay for hemodialysis treatment in Hemodialysis Unit, Hospital USM
title_full_unstemmed Provider cost and patient’s willingness to pay for hemodialysis treatment in Hemodialysis Unit, Hospital USM
title_short Provider cost and patient’s willingness to pay for hemodialysis treatment in Hemodialysis Unit, Hospital USM
title_sort provider cost and patient s willingness to pay for hemodialysis treatment in hemodialysis unit hospital usm
topic RC870-923 Diseases of the genitourinary system. Urology
url http://eprints.usm.my/58902/1/UMMI%20NABILA%20BINTI%20RADZI%20-%20e.pdf
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