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A Survey of Home Enteral Nutrition Practices and Reimbursement in the Asia Pacific Region

Literature regarding the use of home enteral nutrition (HEN) and how it is reimbursed in the Asia Pacific region is limited. This research survey aims to determine the availability of HEN, the type of feeds and enteral access used, national reimbursement policies, the presence of nutrition support t...

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Autores principales: Wong, Alvin, Banks, Merrilyn D., Bauer, Judith D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852790/
https://www.ncbi.nlm.nih.gov/pubmed/29443950
http://dx.doi.org/10.3390/nu10020214
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author Wong, Alvin
Banks, Merrilyn D.
Bauer, Judith D.
author_facet Wong, Alvin
Banks, Merrilyn D.
Bauer, Judith D.
author_sort Wong, Alvin
collection PubMed
description Literature regarding the use of home enteral nutrition (HEN) and how it is reimbursed in the Asia Pacific region is limited. This research survey aims to determine the availability of HEN, the type of feeds and enteral access used, national reimbursement policies, the presence of nutrition support teams (NSTs), and clinical nutrition education in this region. An electronic questionnaire was sent to 20 clinical nutrition societies and leaders in the Asia Pacific region in August 2017, where thirteen countries responded. Comparison of HEN reimbursement and practice between countries of different income groups based on the World Bank’s data was investigated. Financial support for HEN is only available in 40% of the countries. An association was found between availability of financial support for HEN and health expenditure (r = 0.63, p = 0.021). High and middle-upper income countries use mainly commercial supplements for HEN, while lower-middle income countries use mainly blenderized diet. The presence of NSTs is limited, and only present mainly in acute settings. Sixty percent of the countries indicated an urgent need for funding and reimbursement of HEN. This survey demonstrates the varied clinical and economic situation in the Asia Pacific region. There is a lack of reimbursement, clinical support, and inadequate educational opportunities, especially for the lower-middle income countries.
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spelling pubmed-58527902018-03-19 A Survey of Home Enteral Nutrition Practices and Reimbursement in the Asia Pacific Region Wong, Alvin Banks, Merrilyn D. Bauer, Judith D. Nutrients Article Literature regarding the use of home enteral nutrition (HEN) and how it is reimbursed in the Asia Pacific region is limited. This research survey aims to determine the availability of HEN, the type of feeds and enteral access used, national reimbursement policies, the presence of nutrition support teams (NSTs), and clinical nutrition education in this region. An electronic questionnaire was sent to 20 clinical nutrition societies and leaders in the Asia Pacific region in August 2017, where thirteen countries responded. Comparison of HEN reimbursement and practice between countries of different income groups based on the World Bank’s data was investigated. Financial support for HEN is only available in 40% of the countries. An association was found between availability of financial support for HEN and health expenditure (r = 0.63, p = 0.021). High and middle-upper income countries use mainly commercial supplements for HEN, while lower-middle income countries use mainly blenderized diet. The presence of NSTs is limited, and only present mainly in acute settings. Sixty percent of the countries indicated an urgent need for funding and reimbursement of HEN. This survey demonstrates the varied clinical and economic situation in the Asia Pacific region. There is a lack of reimbursement, clinical support, and inadequate educational opportunities, especially for the lower-middle income countries. MDPI 2018-02-14 /pmc/articles/PMC5852790/ /pubmed/29443950 http://dx.doi.org/10.3390/nu10020214 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Wong, Alvin
Banks, Merrilyn D.
Bauer, Judith D.
A Survey of Home Enteral Nutrition Practices and Reimbursement in the Asia Pacific Region
title A Survey of Home Enteral Nutrition Practices and Reimbursement in the Asia Pacific Region
title_full A Survey of Home Enteral Nutrition Practices and Reimbursement in the Asia Pacific Region
title_fullStr A Survey of Home Enteral Nutrition Practices and Reimbursement in the Asia Pacific Region
title_full_unstemmed A Survey of Home Enteral Nutrition Practices and Reimbursement in the Asia Pacific Region
title_short A Survey of Home Enteral Nutrition Practices and Reimbursement in the Asia Pacific Region
title_sort survey of home enteral nutrition practices and reimbursement in the asia pacific region
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5852790/
https://www.ncbi.nlm.nih.gov/pubmed/29443950
http://dx.doi.org/10.3390/nu10020214
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