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High Costs of Dialysis Transportation in the United States: Exploring Approaches to a More Cost-effective Delivery System
Background: The costs of transporting end-stage renal disease (ESRD) patients to dialysis centers are high and growing rapidly. Research has suggested that substantial cost savings could be achieved if medically appropriate transport was made available and covered by Medicare. Objectives: To estimat...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Columbia Data Analytics, LLC
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471411/ https://www.ncbi.nlm.nih.gov/pubmed/37662025 http://dx.doi.org/10.36469/9861 |
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author | Stephens, J. Mark Brotherton, Samuel Dunning, Stephan C. Emerson, Larry C. Gilbertson, David T. Gitlin, Matthew McClellan, Ann C. McClellan, William M. Shreay, Sanatan |
author_facet | Stephens, J. Mark Brotherton, Samuel Dunning, Stephan C. Emerson, Larry C. Gilbertson, David T. Gitlin, Matthew McClellan, Ann C. McClellan, William M. Shreay, Sanatan |
author_sort | Stephens, J. Mark |
collection | PubMed |
description | Background: The costs of transporting end-stage renal disease (ESRD) patients to dialysis centers are high and growing rapidly. Research has suggested that substantial cost savings could be achieved if medically appropriate transport was made available and covered by Medicare. Objectives: To estimate US dialysis transportation costs from a purchaser’s perspective, and to estimate cost savings that could be achieved if less expensive means of transport were utilized. Methods: Costs were estimated using an actuarial model. Travel distance estimates were calculated using GIS software from patient ZIP codes and dialysis facility addresses. Cost and utilization estimates were derived from fee schedules, government reports, transportation websites and peer-reviewed literature. Results: The estimated annual cost of dialysis transportation in the United States is $3.0 billion, half of which is for ambulances. Most other costs are due to transport via ambulettes, wheelchair vans and taxis. Approximately 5% of costs incurred are for private vehicle or public transportation use. If ambulance use dropped to 1% of trips from the current 5%, costs could be reduced by one-third. Conclusions: Decision-makers should consider policies to reduce ambulance use, while providing appropriate levels of care. |
format | Online Article Text |
id | pubmed-10471411 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Columbia Data Analytics, LLC |
record_format | MEDLINE/PubMed |
spelling | pubmed-104714112023-09-01 High Costs of Dialysis Transportation in the United States: Exploring Approaches to a More Cost-effective Delivery System Stephens, J. Mark Brotherton, Samuel Dunning, Stephan C. Emerson, Larry C. Gilbertson, David T. Gitlin, Matthew McClellan, Ann C. McClellan, William M. Shreay, Sanatan J Health Econ Outcomes Res Nephrologic/Hepatologic Conditions Background: The costs of transporting end-stage renal disease (ESRD) patients to dialysis centers are high and growing rapidly. Research has suggested that substantial cost savings could be achieved if medically appropriate transport was made available and covered by Medicare. Objectives: To estimate US dialysis transportation costs from a purchaser’s perspective, and to estimate cost savings that could be achieved if less expensive means of transport were utilized. Methods: Costs were estimated using an actuarial model. Travel distance estimates were calculated using GIS software from patient ZIP codes and dialysis facility addresses. Cost and utilization estimates were derived from fee schedules, government reports, transportation websites and peer-reviewed literature. Results: The estimated annual cost of dialysis transportation in the United States is $3.0 billion, half of which is for ambulances. Most other costs are due to transport via ambulettes, wheelchair vans and taxis. Approximately 5% of costs incurred are for private vehicle or public transportation use. If ambulance use dropped to 1% of trips from the current 5%, costs could be reduced by one-third. Conclusions: Decision-makers should consider policies to reduce ambulance use, while providing appropriate levels of care. Columbia Data Analytics, LLC 2013-08-28 /pmc/articles/PMC10471411/ /pubmed/37662025 http://dx.doi.org/10.36469/9861 Text en https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (4.0) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Nephrologic/Hepatologic Conditions Stephens, J. Mark Brotherton, Samuel Dunning, Stephan C. Emerson, Larry C. Gilbertson, David T. Gitlin, Matthew McClellan, Ann C. McClellan, William M. Shreay, Sanatan High Costs of Dialysis Transportation in the United States: Exploring Approaches to a More Cost-effective Delivery System |
title | High Costs of Dialysis Transportation in the United States: Exploring Approaches to a More Cost-effective Delivery System |
title_full | High Costs of Dialysis Transportation in the United States: Exploring Approaches to a More Cost-effective Delivery System |
title_fullStr | High Costs of Dialysis Transportation in the United States: Exploring Approaches to a More Cost-effective Delivery System |
title_full_unstemmed | High Costs of Dialysis Transportation in the United States: Exploring Approaches to a More Cost-effective Delivery System |
title_short | High Costs of Dialysis Transportation in the United States: Exploring Approaches to a More Cost-effective Delivery System |
title_sort | high costs of dialysis transportation in the united states: exploring approaches to a more cost-effective delivery system |
topic | Nephrologic/Hepatologic Conditions |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471411/ https://www.ncbi.nlm.nih.gov/pubmed/37662025 http://dx.doi.org/10.36469/9861 |
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