RT Journal Article
T1 Evidence on outsourcing dialysis services: a scoping review
T2 Evidencia sobre la externalización de los servicios de diálisis: una revisión de alcance
A1 Caro Martínez, Araceli
A1 González Vera, María de Los Ángeles
A1 Prieto Velasco, Mario
A1 Olry-de-Labry-Lima, Antonio
K1 Costes
K1 Costs
K1 Dialysis
K1 Diálisis
K1 Efectividad
K1 Effectiveness
K1 Evidence synthesis
K1 External services
K1 Servicios externos
K1 Síntesis evidencia
AB Introduction: Chronic kidney disease represents an important health problem, due to its high incidence and prevalence, as well as its significant morbidity and mortality and socioeconomic cost.Aims: compare the effectiveness and economic consequences of outsourcing versus hospital dialysis.Method: A scoping review, for which different databases were consulted, using controlled and free terms. Those articles that compared concerted versus in hospital dialysis in terms of effectiveness were included. Likewise, those publications that compared, in the Spanish field, the cost between both modes of service provision and the public price rates of the different Autonomous Communities were included.Results: 11 articles were included in this review: 8 on comparison of effectiveness, all of them in the USA, and 3 on costs. A higher rate of hospitalization was observed in subsidized centers, but no differences in mortality were observed. Additionally, greater competition among providers was associated with lower hospitalization rates. The cost studies reviewed show that hospital hemodialysis is more expensive than in subsidized centers, due to the structural costs. The data of the public rates of the different Autonomous Communities show a wide heterogeneity in the payment of the concerts.Conclusions: the coexistence in Spain of public and subsidized centers, the variability in the provision and costs of dialysis techniques, and the low of evidence on the effectiveness of outsourcing treatment show all the need to continue promoting strategies that result in improvement in the care for Chronic Kidney Disease.
PB Elsevier España
SN 2013-2514
YR 2022
FD 2022-12
LK https://hdl.handle.net/10668/23293
UL https://hdl.handle.net/10668/23293
LA es
NO Caro Martínez A, González Vera MLÁ, Prieto Velasco M, Olry de Labry Lima A. Evidence on outsourcing dialysis services: a scoping review. Nefrologia. 2022 Nov-Dec;42(6):621-632
DS RISalud
RD Apr 9, 2025