PRACTICAL CONSIDERATIONS FOR A DIALYSIS PROVISION MODEL OF CARE FOR END-STAGE RENAL DISEASE (ESRD). BENCHMARK OF INTERNATIONAL EXPERIENCES, OPPORTUNITIES FOR THE MEXICAN SOCIAL SECURITY INSTITUTE (IMSS)
Author(s)
Brabata C
BAXTER, MIAMI, FL, USA
Presentation Documents
OBJECTIVE: This study aims to methodologically assess international dialysis provision models, analyze standard and innovative interventions used globally, and identify opportunities for improvement in the model of care for the Mexican Social Security Institute (IMSS). METHODS:: Development of review framework is crucial to analysis, comparison and relevant benchmarking. Following a literature review of the international data (primary and secondary; English and Spanish) dating back to 2001, a methodological framework for the “Dialysis Provision Model” of care was developed to guide the assessment of international models and taking into consideration the current IMSS landscape. RESULTS:: Internationally, a variety of policies, service organization, provider payment schemes and tracking for dialysis exist. Half of the articles discussing standard or innovative practices are from the United States, Canada, and Australia. However, despite few publications, innovative models were found in Colombia, China, Thailand and Hong Kong. Compared to other countries, IMSS has been successful in home dialysis (peritoneal dialysis), however, there exist a number of opportunities for IMSS to further regulate home-dialysis targets, including streamlining services, aligning provider payments and incentives across the continuum of care, and measuring results associated with the management of ESRD patients. CONCLUSION: This review establishes a practical framework that will allow IMSS – and the broader international community – to assess its dialysis provision model, and establishes a systematic path for improvements in the model of care in Mexico.
Conference/Value in Health Info
2017-09, ISPOR Latin America 2017, Sao Paulo, Brazil
Value in Health, Vol. 20, No. 9 (October 2017)
Code
PHP67
Topic
Health Policy & Regulatory
Disease
Urinary/Kidney Disorders