透析療法の現況と社会経済―家庭透析の面から
1979 年 8 巻 1 号 p. 321-324
詳細
1979 年 8 巻 1 号 p. 321-324
Home dialysis (HD) was commenced in 1968, and in August 1978, 58 patients are controlled by us.
HD is strengthened this year as one of new programs in Shinseikai Foundation. The followings are the principles in the program: 1) HD is a medical act and the responsibility is placed on the medical staves; 2) doctors and nurses of HD must be qualified as the specialists and given better treatment; 3) the financial burden of patients should be minimal; 4) HD should be performed by a public-service corporation and the accounts must be announced.
HD was evaluated financially and was compared to the report of Frankfurt Kuratorium in West Germany in which the patients' increase rates were considered the same. The calculation disclosed that the cost per dialysis, i. e. 48, 876 yen, would decrease to 40, 000 yen in 1984. Also, it was cleared that the cost in Japan is almost the same as in West Germany.
