Health Economics Papers
COHERE - Centre of Health Economics Research, University of Southern Denmark
No 2008:14:
Hjemtagning af dialysebehandling til grønlandske patienter med kronisk nyresvigt
Christian Kronborg ()
, Mickael Bech ()
and Trine Kjær ()
Abstract: Background: Until recently, there have not been any
facilities for the treatment of chronic renalfailure with dialyses in
Greenland. Patients in haemodialysis had to move to Copenhagen for
treatment at Rigshospitalet. Furthermore, patients in peritoneal dialysis
were seen at Rigshospitalet for check up visits regularly. Thus, patients
either had to move to Denmark on a permanent basis for treatment, or
regularly travel to Denmark for control visits.
Objective: The objective
of this study was to assess the economic consequences of establishing
dialysis treatment for patients with chronic renal failure at Dronning
Ingrid Hospital in Nuuk, Greenland. Methods: Based on a suggestion from a
working group on how to organise dialysis facilities in Nuuk, the expected
costs of establishing and managing chronic renal failure were estimated and
compared to those if disease management continued as usual. Furthermore, in
a survey to 500 persons aged 18 years or older living in Greenland, the
societal value of establishing and offering treatment for chronic renal
failure in Nuuk were examined with a discrete choice experiment.
Results: The additional costs of establishing and running dialysis
treatment in Greenland compared with usual care were estimated to four
million Danish kroners per year. From 206 respondents in the survey, it was
estimated that the value of dialysis facilities in Nuuk was 5.7 million
Danish kroners per year.
Conclusion: The results from this study suggest
that the societal benefits of establishing and running dialysis facilities
may exceed the additional costs of such an alternative
Keywords: Stated preference; discrete choice; chronic renal failure; (follow links to similar papers)
JEL-Codes: D60; I11; (follow links to similar papers)
76 pages, June 25, 2010
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