Pharmacoeconomic Evaluation in End Stage Renal Diseased Patients
Aim : The purpose of this project is to evaluate the economic evaluation of End Stage Renal Diseased patients within the context of continued economic uncertainty and pressure on healthcare resource use. Objective : These findings are important to find out the impact of cost of haemodialysis on patients suffering from ESRD. Further studies related to costs and outcome, otherwise known as pharmacoeconomic studies, are needed to analyse the cost evaluation in End Stage Renal Dialysis patients.
Methodology : A prospective observational study was conducted for a period of Eight months (December 2015 to July 2016) at a tertiary care hospital in the Inpatient Nephrology Department. Patients coming on outpatient basis were selected for the study. Patients were allotted in different shifts either in morning, afternoon or evening, based on their preferences. The patients were followed up for a period of 8 months. The patient sociodemographics, cost details of dialysis, hospital costs, comorbities diseases and their cost, adverse reactions occurred during dialysis, cost to manage such adverse reactions, regularity, affordability, outcome and patient satisfaction to dialysis, etc. were collected prospectively.
Result : The total cost per session was found to be around INR 4500. Fifty six percent contributes direct medical cost whereas 20% contributes direct non medical cost. Twenty four percent cost was due to indirect costs. Since the patients are paying from their own pocket, only the upper or upper middle class patient can undergo haemodialysis regularly.
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