Organ support & nutrition

Lesson learnt from implementing a continuous renal replacement therapy (CRRT) reimbursement program in a resource-limited setting

J Crit CarePublished Policy review

Authors' conclusion

By 2022, CRRT reimbursement was incorporated into the UCS, significantly improving access to treatment for patients with AKI.

Study context

Population
Patients with acute kidney injury (AKI) requiring CRRT under Thailand's Universal Coverage Scheme (UCS), a resource-limited setting
Methodological detailscase report of health policy implementation
  • Case report of health policy implementation

Main finding

As reported in the abstract

  • Proposal to include CRRT in UCS (2017) accepted in 2018 after evidence-based, participatory policy development
  • CRRT reimbursement incorporated into UCS by 2022, significantly improving access to treatment for AKI patients
  • Patient outcomes (mortality, renal recovery, hospital LOS, complications) and cost-saving outcomes of 2-year implementation are ongoing

Original publication

Lesson learnt from implementing a CRRT reimbursement program in a resource-limited setting. J Crit Care. Published 16 April 2025. doi:10.1016/j.jcrc.2025.155089

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