Evidence on outsourcing dialysis services: a scoping review

• Published in: Nefrología 2022-11, Vol.42 (6), p.621-632
• Main Authors: Caro Martínez, Araceli, González Vera, María de los Ángeles, Prieto Velasco, Mario, Olry de Labry Lima, Antonio
• Format: Article
• Language: English
• Subjects: Costes; Costs; Dialysis; Diálisis; Efectividad; Effectiveness; Evidence synthesis; External services; Hospitalization; Humans; Outsourced Services; Referral and Consultation; Renal Dialysis - methods; Renal Insufficiency, Chronic - therapy; Servicios externos; Síntesis evidencia
• ISSN: 2013-2514; 2013-2514
• DOI: 10.1016/j.nefroe.2023.03.002

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. compare the effectiveness and economic consequences of outsourcing versus hospital dialysis. 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. 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. 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. La enfermedad renal crónica representa un importante problema de salud, tanto por su elevada incidencia y prevalencia, como por su importante morbimortalidad y coste socioeconómico. Comparar la efectividad y consecuencias económicas de la diálisis concertada frente a la diálisis hospitalaria. Revisión de alcance, para lo cual se consultaron diferentes bases de datos, mediante términos controlados y libres. Se incluyeron aquellos artículos que comparasen la diálisis concertada frente a la hospitalaria en términos de efectividad. Igualmente, se incluyeron aquellas publicaciones que comparasen, en el ámbito español, el coste entre ambas modalidades de prestación de servicios y las tarifas de precios públicos de las diferentes Comunidades Autónomas. En esta revisión se incluyeron 11 artículos: 8 sobre comparación de la efectividad, todos ellos en EEUU y 3 sobre costes. Se observó una mayor tasa de hospitalizaci