Dialysis

The monthly cost of HD in most private hospitals average Rs 15000 and the yearly cost of dialysis is Rs 1,80000, equivalent to US$ 3000, which is in sharp contrast to an annual cost of $60,000 in the US and UK. Comparison of cost of dialysis per annum is given in Table 2. It appears that India provides the cheapest dialysis in world and ironically the vast majority of Indian renal patients (90%) cannot afford this treatment.

Variables in Dialysis Costing.

There are direct and indirect variables in dialysis cost. Direct cost includes: cost of consumables, equipment maintenance & repair, water & electricity bills and staffing expenses. Indirect expenses includes Infrastructure maintenance, housekeeping, laundry, property tax and biomedical waste disposal. Actual costing under different variables is given in below table.

Actual costing of Dialysis

Variable

Average cost in 2009

Average cost in 2015

Consumables

Rs 350

450

Rent

-

50-100

Electricity

Rs 50

90

Water, telephone, Insurance

Rs10

25

Annual Maintenance - dialysis machine RO plant, premises

Rs 20

50

Repairs & wear & tear

Rs 20

25

Interest & Depreciation

Rs 100

150

Honorarium to nephrologist

Rs 100-200

150-250

Staff Salary

Rs 100-200

200-300

Total

Rs 750-950

1190-1440

Source:
Khanna U: The economics of dialysis in India. Ind J Nephrol 2009, 19(1):1-4. 

Source:
Apex Kidney Care

 

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