Impact of Dialysis Coverage on the Provision of Universal Health Insurance in the Republic of the Congo  

作　　者：Ange Clauvel Niama Gaël Honal Mahoungou Mahoungou Darius Eryx Mbou Essie Gilbert Ndziessi Arkadit Nkodia Christel Aubrey Bitsi Félix Mouko Séverin Odzebe Anani Ange Clauvel Niama;Gaël Honal Mahoungou Mahoungou;Darius Eryx Mbou Essie;Gilbert Ndziessi;Arkadit Nkodia;Christel Aubrey Bitsi;Félix Mouko;Séverin Odzebe Anani(Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of the Congo;Universal Health Insurance Fund, Brazzaville, Republic of the Congo;Nephrology Department, University Hospital Center of Brazzaville, Brazzaville, Republic of the Congo)

机构地区：[1]Faculty of Health Sciences, Marien Ngouabi University, Brazzaville, Republic of the Congo [2]Universal Health Insurance Fund, Brazzaville, Republic of the Congo [3]Nephrology Department, University Hospital Center of Brazzaville, Brazzaville, Republic of the Congo

出　　处：《Open Journal of Nephrology》2023年第4期329-338,共10页肾脏病（英文）

摘　　要：Introduction: The launch of health insurance in the Republic of the Congo took place against a backdrop of extremely high costs for dialysis, which was not one of the services financed within this framework. The aim of this study is to assess the impact of including dialysis in the health insurance package in Congo. Methodology: This is a descriptive cross-sectional study with an evaluative aim, analyzing the impact of dialysis on the financing capacity of health insurance and health facilities to provide this type of care. Results: The results show that including dialysis in the universal health insurance package will require an additional financial effort of 6.20% of the current total financing capacity of the care basket. Most dialysis sessions are provided by the private health sector (87.5%), whose health facilities are unevenly distributed across the country, and concentrated in the country’s two major cities. This problem is the dual consequence of the very high cost of a dialysis session (average cost 140,234,375 FCFA or 229 US Dollars) and the number of patients under care, which will increase in the absence of effective and ongoing prevention efforts against chronic diseases in general and end-stage renal failure in particular. Conclusion: Dialysis is a high-impact public health intervention. The impact of its inclusion in the universal health insurance care package is difficult to bear financially. For dialysis to be covered by universal health insurance, additional funding and improved technical facilities are needed.Introduction: The launch of health insurance in the Republic of the Congo took place against a backdrop of extremely high costs for dialysis, which was not one of the services financed within this framework. The aim of this study is to assess the impact of including dialysis in the health insurance package in Congo. Methodology: This is a descriptive cross-sectional study with an evaluative aim, analyzing the impact of dialysis on the financing capacity of health insurance and health facilities to provide this type of care. Results: The results show that including dialysis in the universal health insurance package will require an additional financial effort of 6.20% of the current total financing capacity of the care basket. Most dialysis sessions are provided by the private health sector (87.5%), whose health facilities are unevenly distributed across the country, and concentrated in the country’s two major cities. This problem is the dual consequence of the very high cost of a dialysis session (average cost 140,234,375 FCFA or 229 US Dollars) and the number of patients under care, which will increase in the absence of effective and ongoing prevention efforts against chronic diseases in general and end-stage renal failure in particular. Conclusion: Dialysis is a high-impact public health intervention. The impact of its inclusion in the universal health insurance care package is difficult to bear financially. For dialysis to be covered by universal health insurance, additional funding and improved technical facilities are needed.

关 键 词：Universal Health Insurance Care Basket End-Stage Renal Disease DIALYSIS Republic of the Congo 

分 类 号：R31[医药卫生—基础医学]