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INCREASED UTILIZATION OF PERITONEAL DIALYSIS TO COPE WITH MOUNTING DEMAND FOR RENAL REPLACEMENT THERAPY—PERSPECTIVES FROM ASIAN COUNTRIES

Footnotes

^a Participants in the Roundtable Discussion on Dialysis Economics in Asia, ISPD 2006 Hong Kong Congress; August 25, 2006; Hong Kong: Tao Wang, Xue-Qing Yu (China); Chi Bon Leung, Philip Kam-Tao Li, Wai Kei Lo, Sing Leung Lui, Andrew Kui-Man Wong, Alex Wai-Yin Yu (Hong Kong); Georgi Abraham (India); Yoshindo Kawaguchi (Japan); Un I. Kuok (Macau); Lai Seong Hooi (Malaysia); Lynn Almazan-Gomez (Philippines); Evan Lee (Singapore); Chiu Ching Huang (Taiwan); Kriang Tungsanga (Thailand); Paul M. Just (U.S.A.). The following participants also held office at the time of the roundtable discussion: Philip Kam-Tao Li, President, ISPD 2006 Congress, Hong Kong; Alex Wai-Yin Yu, Chair, Hong Kong Society of Nephrology; Evan Lee, President, Singapore Society of Nephrology; Lynn Almazan-Gomez, President, Philippine Society of Nephrology; Chiu Ching Huang, President, Taiwan Society of Nephrology; Lai-Seong Hooi, Past President, Malaysian Society of Nephrology; Yoshindo Kawaguchi, President, ISPD 2007 3rd Asian Chapter Meeting, Hiroshima, Japan; Un I. Kuok, President, Macau Society of Nephrology; Kriang Tungsanga, Past President, Thai Society of Nephrology; Xue-Qing Yu, Vice President, Chinese Society of Nephrology; Wai-Kei Lo, President Elect, International Society for Peritoneal Dialysis.

Correspondence to: P.K.T. Li, Division of Nephrology, Department of Medicine and Therapeutics, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong SAR, PR China.
philipli{at}cuhk.edu.hk

With the number of end-stage renal disease (ESRD) patients growing, one of the crucial questions facing health care professionals and funding agencies in Asia is whether funding for dialysis will be sufficient to keep up with demand.

During the ISPD's 2006 Congress, academic nephrologists and government officials from China, Hong Kong, India, Indonesia, Japan, Macau, Malaysia, Philippines, Singapore, Taiwan, Thailand, and Vietnam participated in a roundtable discussion on dialysis economics in Asia. The focus was policy and health care financing. The roundtable addressed ESRD growth in Asia and how to obtain enough funding to keep up with the growth in patient numbers. Various models were presented: the "peritoneal dialysis (PD) first" policy model, incentive programs, nongovernmental organizations providing PD, and PD reimbursement in a developing economy. This article summarizes the views of the participant nephrologists on how to increase the utilization of PD to improve on clinical and financial management of patients with ESRD.

KEY WORDS: KEY WORDS:; Economics; Asia; renal replacement therapy.

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