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Budget Impact Analysis of Including Renal Replacement Therapy in the Benefit Package of Universal Coverage in Thailand

dc.contributor.authorVijj Kasemsupen_US
dc.contributor.authorPhusit Prakongsaien_US
dc.contributor.authorViroj Tangcharoensathienen_US
dc.contributor.otherInternational Health Policy Programen_US
dc.contributor.otherInternational Health Policy Programen_US
dc.contributor.otherInternational Health Policy Programen_US
dc.date.accessioned2008-10-02T07:52:17Zen_US
dc.date.accessioned2557-04-15T08:55:56Z
dc.date.available2008-10-02T07:52:17Zen_US
dc.date.available2557-04-15T08:55:56Z
dc.date.issued2008en_US
dc.identifier.citationSiriraj Medical Journal 60,Supple1(2008) : 77en_US
dc.identifier.otherDMJ92en_US
dc.identifier.urihttp://hdl.handle.net/11228/352en_US
dc.description.abstractObjective: To estimate the amount of government health budget reqired for the extension of universal access to renal replacement therapy (RRT) towards beneficiaries of the universal converge (UC) health insurance scheme in Thailand. Ability of the government to bear the increasing budget and appropriate measures to cope with anticipated costs of including RRT in the UC benefit package were also investigated. Materials and Methods: Literature review on demand for RRT from both domestic and international literature, and the estimate of costs for expanding haemodialysis and continuous peritoneal dialysis in Thailand. From the government perspective, several scenarious of budget requirements, according to the estimated costs for RRT and possible rationing criteria, were calculated. Results: The government would spend approximately more than five billion Baht during the first year of implementation, if there is neither strategy to reduce the costs for RRT nor appropriate selection criteria for end stage renal disease patients. The budget for universal access to RRT would increase to 71,355 million Baht in the sixteenth year of implementation if the government played roles in controlling costs of the program. The budget required would reduce to 58% of the estimate if the government introduced rationing criteria for patients aged less than 60 years. Conclusion: The policy on the extension of access to RRT should be considered carefully by the government because of its financial impact on the government health budget. Appropriate interventions including effective measures to control costs of RRT, strategies to reduce the incidence of end-stage renal disease, and the rationing criteria for access to RRT are needed if the decision to implement the policy on universal access to RRT.en_US
dc.format.extent354458 bytesen_US
dc.format.mimetypeapplication/pdfen_US
dc.language.isoenen_US
dc.publisherInternational Health Policy Programen_US
dc.rightsInternational Health Policy Programen_US
dc.subjectUniversal Health Coverageen_US
dc.titleBudget Impact Analysis of Including Renal Replacement Therapy in the Benefit Package of Universal Coverage in Thailanden_US
dc.typeArticleen_US
dc.subject.keywordBudgeten_US
dc.subject.keywordRenal Replacementen_US
.custom.citationVijj Kasemsup, Phusit Prakongsai and Viroj Tangcharoensathien. "Budget Impact Analysis of Including Renal Replacement Therapy in the Benefit Package of Universal Coverage in Thailand." 2008. <a href="http://hdl.handle.net/11228/352">http://hdl.handle.net/11228/352</a>.
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