The Japanese Journal of Clinical Dialysis Vol.20 No.13(7)

Theme Pros and Cons of DRG/PPS in Dialysis Therapy
Title Are dialysis fees becoming more expensive ? -- considerations related to cost of support for patients and public long term care insurance
Publish Date 2004/12
Author Kazuo Masuda Masuda Clinic
Author Masahiro Kawagoe Japan Medical Association Research Institute
[ Summary ] Dialysis fees have been decreasing for the past 30 years. The cost has been reduced to one third of the original price. However, dialysis fees comprise 3.4% of total medical expenditures in Japan.
For this reason, the number of aged patients with diabetic nephropathy has increased remarkably in recent years.
Also, may aged patients have a great number of complications, such as general angiopathy, hypertension, hypercholesterinemia and walking disturbances.
Therefore, they need a great amount of support with their daily lives when starting dialysis. At this moment, the public long-term insurance system works well for these patients and it is hoped it will continue to do so.
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