Table 1.

Some key aspects of the actual dialysis status in Vietnam

HemodialysisStatus and Funding
No. of patients on dialysis in Vietnam (total no. and per million people in the general population)Total no. of patients with RRT
• Approximately 30,000 on MHD (310 patients per 1 million population)
• Approximately 2000 on PD
• >4000 with kidney transplantation
Or 372 patients with RRT per 1 million population
Home dialysisHome dialysis is not available in Vietnam
Payment for dialysis>95% of patients on dialysis covered by insurance from 80% to 100% depending on the kind of insurance. Patients on OL-HDF have to pay out-of-pocket expenses
Dialysis facilitiesDialysis units are mainly hospital based; freestanding ones are few and invested by privates
Dialysis profitMajority of dialysis units, especially hospital-based ones, are nonprofit. All private freestanding are for profit; patients have to pay out-of-pocket expenses
Reimbursement policyInsurance reimburses about $25 per dialysis session
Care for patients during dialysisOnly nurses care for patients. Technicians are only in charge of machine maintenance/ minor reparation
Nurse-to-Patient Ratio in the dialysis unitsOne nurse for five patients during dialysis
Average length of a dialysis session, h4
Patients’ consultation/visitPatients are seen by their nephrologists once per month. Nephrologists on duty have to see all patients at least once during dialysis session
Vascular access>95% patients are dialyzed via AVF, approximately 4% AVG, approximately 1% CVC. In some facilities, tunneled CVC is used for dialysis while awaiting the maturation of AVF
  • MHD, maintenance hemodialysis; PD, peritoneal dialysis; OL-HDF, online hemodiafiltration; AVF, arteriovenous fistula; AVG, arteriovenous graft; CVC, central venous catheter.