Longitudinal analysis of market factors associated with provision of peritoneal dialysis services.

Journal Article (Journal Article)

Despite the appeal of peritoneal dialysis (PD) among patients, payers, and providers, its use in the United States has been limited and declining. Prior research has found that patient factors explain little variation in PD utilization, and little is known about the contribution of dialysis facility factors. The authors examined market factors associated with the provision of PD services in dialysis facilities between 1995 and 2003. Less than half of dialysis facilities offered PD. PD provision was not explained by disease trends or patient characteristics commonly associated with PD use. Facilities were more likely to offer PD in less competitive and less spatially concentrated markets. PD services may not be available to all patients who would benefit from it and there may be insufficient demand, economics of scale, or incentives for facilities to provide PD. These findings warrant further investigation on dialysis facilities' provision of a preferred, potentially beneficial, and cost-effective therapy.

Full Text

Duke Authors

Cited Authors

  • Wang, V; Lee, S-YD; Patel, UD; Maciejewski, ML; Ricketts, TC

Published Date

  • October 2011

Published In

Volume / Issue

  • 68 / 5

Start / End Page

  • 537 - 558

PubMed ID

  • 21602196

Electronic International Standard Serial Number (EISSN)

  • 1552-6801

Digital Object Identifier (DOI)

  • 10.1177/1077558711399768


  • eng

Conference Location

  • United States