Department of Public Health Pharmacy and Management, School of Pharmacy, Sefako Makgatho Health Sciences University, Molotlegi Street, Garankuwa, Pretoria, 0208, South Africa.
Strathclyde Institute of Pharmacy and Biomedical Sciences, University of Strathclyde, Glasgow, G4 0RE, UK.
BMC Health Serv Res. 2023 Oct 19;23(1):1119. doi: 10.1186/s12913-023-10109-2.
In South Africa (SA), patients with kidney failure can be on either haemodialysis (HD), which is performed by a healthcare professional in a hospital thrice weekly; or peritoneal dialysis (PD), which can performed daily at home. There needs to be more studies within the South African healthcare sector on the cost of kidney failure and especially the indirect costs associated with patients being on dialysis to provide future guidance. This study aimed to determine and compare the indirect costs associated with HD and PD from the patients' perspective at an Academic Hospital in Pretoria. The study used a cross-sectional prospective quantitative study design. The researcher used face-to-face interviews to collect data and the human capital approach to calculate productivity losses. The study population included all patients over 18 receiving HD or PD for over three months; 54 patients participated (28 on HD and 26 on PD). The study lasted seven months, from September 2020 to March 2021. Haemodialysis patients incurred greater productivity losses per annum ($8127.55) compared to PD (R$3365.34); the difference was statistically significant with a P-value of p < 0.001. More HD (96.4%) patients were unemployed than (76.9%) PD patients.
在南非，肾衰竭患者可以选择血液透析（HD），每周三次由医疗机构的专业人员在医院进行；或者选择腹膜透析（PD），在家中每天进行。南非医疗保健部门需要对肾衰竭的成本，尤其是与透析患者相关的间接成本进行更多的研究，以为未来提供指导。本研究旨在从比勒陀利亚一家学术医院的患者角度出发，确定和比较 HD 和 PD 相关的间接成本。该研究采用了横断面前瞻性定量研究设计。研究人员通过面对面访谈收集数据，并采用人力资本方法计算生产力损失。研究人群包括所有接受 HD 或 PD 治疗超过三个月的 18 岁以上患者；共有 54 名患者参与（HD 组 28 名，PD 组 26 名）。研究持续了七个月，从 2020 年 9 月到 2021 年 3 月。与 PD 相比，HD 患者每年的生产力损失更大（$8127.55 比 R$3365.34）；差异具有统计学意义，p 值<0.001。更多的 HD（96.4%）患者失业，而 PD（76.9%）患者失业。
