Influence of dialysis‐related stigma on health‐related indicators in Japanese patients undergoing hemodialysis

Sugisawa, Hidehiro; Shimizu, Yumiko; Kumagai, Tetsuya; Shishido, Kanji; Koda, Yutaka; Shinoda, Takeshi

doi:10.1111/1744-9987.13992

Cited by 2 publications

(2 citation statements)

References 53 publications

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“…However, it does not mean that stigma on renal dialysis patients is insignificant. A recent study in Japan quantitatively elucidated dialysis-related stigma in patients on dialysis ( 52 ). Renal dialysis patients are subjected to long-term continuous treatment that may last until the end of their lives, disrupting their routines, social interactions, quality of life, mental health, and family life ( 7 ) as stigma is impossible to avoid.…”

Section: Discussionmentioning

confidence: 99%

Stigma and related factors among renal dialysis patients in China

Li,

Liu,

Zhang

et al. 2023

Front. Psychiatry

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BackgroundStigma is an important psychological concept that is being studied in many diseases. However, there have been few studies on stigma in renal dialysis patients in China. This study aimed to investigate the level of stigma and its potential influencing factors among Chinese renal dialysis patients.MethodsA cross-sectional study was conducted among renal dialysis patients in two Chinese dialysis centers between April 2022 and July 2022. Two hundred four renal kidney patients were interviewed with a questionnaire on demographic variables using the Social Impact Scale (SIS), Resilience Scale-14 (RS-14), Herth Hope Index(HHI), Multidimensional Scale of Perceived Social Support (MSPSS), Revised Life Orientation Test(LOT-R), Perceived Stress Scale (PSS-4) and Fear of Progression (FoP). T-test/univariate one-way ANOVA, Pearson’s R, and hierarchical linear regression analysis were used to investigate the factors that influence stigma.ResultsRenal dialysis patients in China experienced a moderate level of stigma (52.36 ± 8.16). Stigma was negatively correlated with resilience, hope, and perceived social support, whereas it was positively associated with perceived stress and fear of progression. However, it showed no significant relationship between optimism and stigma. Hierarchical linear regression analysis showed that hope (β = -0.318, P < 0.001), social support (β = -0.193, P < 0.01), perceived stress (β = 0.197, P < 0.01), and fear of progression (β = 199, P < 0.01) were found to be associated with stigma among the renal dialysis patients. All four variables in the model could explain 34.6% of the variance in stigma among renal dialysis patients in China.ConclusionAccording to this study, renal dialysis patients in China face a moderate level of stigma. Stigma was found to be negatively related to hope and social support but positively associated with perceived stress and fear of progression. Future research on the stigma of renal dialysis patients should include hope-based interventions, proper and specific social support strategies, stress management interventions, and more disease-related information.

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Section: Discussionmentioning

confidence: 99%

Stigma and related factors among renal dialysis patients in China

Li,

Liu,

Zhang

et al. 2023

Front. Psychiatry

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“…Although the CP system is meaningful in preventing unnecessary expenditure and safeguarding the financial sustainability of MA, it contains the seeds of discrimination and stigma for MA recipients who need HD [11]. In this context, there have been several attempts to improve the CP scheme by loosening the constraints on prices and utilization.…”

Section: Introductionmentioning

confidence: 99%

Preliminary evaluation of the effect of revised reimbursement scheme in outpatient hemodialysis for medical aid recipients in Korea

Kim,

Choi,

Kwon

et al. 2024

Kidney Res Clin Pract

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Background: South Korea has universal health coverage guaranteeing equitable healthcare for all. However, equity issues have been raised regarding hemodialysis reimbursement for medical aid recipients with chronic kidney disease. Physicians and civic groups demanded a revision of the discriminatory policy, and in response, the Ministry of Health and Welfare amended the hemodialysis case payment scheme. This study aims to evaluate the effectiveness of the reform and detect any unintended policy outcomes. Methods: Data from the Health Insurance Review and Assessment Service of Korea was used. All subjects were patients with chronic kidney disease who received outpatient hemodialysis and medical aid from April 2017 to March 2022. The dzata was analyzed with descriptive statistics, and the generalized estimation equation was used to control for covariates and identify policy effects. Results: The reform of the case payment scheme in 2021 raised the compensation level per hemodialysis case, which was fixed for 7 years from 2014, by approximately 2,000 Korean won. There was no negative effect such as additional expenditure resulting from an unintentional increase in medical use. Conclusion: A year has passed since the implementation of the outpatient hemodialysis rate system reform for medical aid recipients. Our results indicate that the reform has gone smoothly, and we anticipate continuous efforts by the government to guarantee universal health coverage to medical aid recipients. Through such consistent endeavors to correct the discriminatory aspects of policies, South Korea will achieve true universal health coverage.

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Influence of dialysis‐related stigma on health‐related indicators in Japanese patients undergoing hemodialysis

Cited by 2 publications

References 53 publications

Stigma and related factors among renal dialysis patients in China

Stigma and related factors among renal dialysis patients in China

Preliminary evaluation of the effect of revised reimbursement scheme in outpatient hemodialysis for medical aid recipients in Korea

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