A cost- effectiveness and resource requirement comparison to optimize renal dialysis policies in Brunei Darussalam
Findings suggest that Brunei's current policy is not the most cost-effective or sustainable option. A peritoneal dialysis-first approach could generate significant cost savings and reduce additional demand for scarce nephrologists and dialysis nurses. Our results highlight the need to integrate workforce planning into economic evaluation to inform sustainable dialysis policies.
Authors
- Waranya Rattanavipapong (ORCID: https://orcid.org/0000-0001-8628-2149)
- Siobhan Botwright (ORCID: https://orcid.org/0000-0002-8204-2065)
- Aye Nandar Myint (ORCID: https://orcid.org/0009-0006-7665-909X)
- Lubna binti Haji Abdul Razak
- Syukri Rahim
- Nor Islya Emma binti Othman
- Chiao Yuen Lim
- Yot Teerawattananon
Institutions
- National University of Singapore (SG)
- University of Strathclyde (GB)
- Health Intervention and Technology Assessment Program (TH)
- Raja Isteri Pengiran Anak Saleha Hospital (BN)
- Ministry of Health (BN)
- National University Health System (SG)
Publication Details
- Journal
- Communications Medicine
- Published
- 2025-12-22
- DOI
- https://doi.org/10.1038/s43856-025-01307-6
- Primary Topic
- Dialysis and Renal Disease Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- United Nations Development Programme
- Universität Zürich
- Thailand Science Research and Innovation