Lakhs of dialysis patients are at risk as about 78% of 1.3 crore dialysis treatments are carried out by private Nephrologists
Nephrologists find Gujarat Government’s sudden guidelines of reduction in dialysis treatment UNFAIR
BILKULONLINE
By Rafat Quadri
Ahmedabad, Aug 13: Announcement of a three days flash strike from Monday by the Gujarat Nephrology Association (GNA) presents a grim picture about the health and safety of lakhs of dialysis patients of Gujarat.
According to GNA, lakhs of patients get treatment of dialysis under PMJAY in private hospitals of Gujarat every year In Gujarat state every year about 1.3 crore dialysis treatments have been done in which 1.02 crore (78 %) dialysis treatment done in private hospitals .The hospitals get Rs.2000 per dialysis since last 8 years from Government of Gujarat.
“Recently the Gujarat Government suddenly reduced the price to Rs.1650 per dialysis. According to Gujarat Government health ministry guidelines, the dialysis centers can use the filter single time, where in other states the filter can use for seven to eight (7 to 8) times. Due to decrease of price in dialysis treatment, it is very difficult for private hospitals to sustain the dialysis treatment” explains Dr Javed Vakil the President of Nephrology Forum Ahmedabad –Gujarat.
Dr Javed Vakil, Dr Apurva Parikh, Dr Jigar Shrimali, Dr Umesh Godhani, Dr Aashay Pandya, Dr Siddharth Mavani are the prominent nephrologists practising privately in Ahmedabad who were present at the AMA on Saturday to make their voice heard to the government authorities through media interaction.
There is still no clarity from government as to why this sudden announcement of change in guideline was introduced. However, through two of its very busy kidney treatment hospitals situated in Ahmedabad, state government serves thousands of patients of Gujarat, Rajasthan and elsewhere who prefer Gujarat’s kidney treatment services.
GNA members insist that they have represented in vain, their plea to the state health minister Rishikesh Patel for the imparity of dialysis treatment price in Gujarat.
Hence, Dialysis treatment at private hospitals in Gujarat is set to get affected from Monday for three days in Gujarat until and unless there is some concrete announcement and clarity in regards to the PMJAY rates of dialysis treatment guidelines from the state government.
Revised rates for Hemodialysis in PMJAY in Gujarat
- Hemodialysis rates in PMJAY –MAA yojana were 2300 per dialysis (Which includes 300 transport allowances) since 2015. Now with new policy Dialysis rates are reduced to 1950 per dialysis (which includes 300 transport allowance), so Rs 1650 /- effectively per dialysis.
- Since last 8 years there is significant increase in dialysis machine cost, consumables and heparin cost , increased GST to 12% from 5% (Except dialyzer) and inflation on above all. So running cost of dialysis has increased significantly and below is actual cost of dialysis in private centers.
- 80 % dialysis are done in private sector in PMJAY ( More than 1 CR in last year, as compared to 28 lacs in Gov program)
| Chronic Hemodialysis Cost per dialysis | Gujarat Dialysis Programme | ||
| 1 | Patient Travel Allowance | 300 | |
| 2 | Dialyzer tubing kit | 450 | |
| 3 | Part A and B | 150 | |
| 4 | Inj. Heparin 25k | 80 | |
| 5 | Inj.EPO 4k | 150 | |
| 6 | Inj.iron | 30 | |
| 7 | Saline+D25+ other | 50 | |
| 8 | Lab Investigations | 150 | 150 |
| 9 | Dialysis Tech salary | 200 | |
| 10 | Nursing Staff and other man power | 100 | 100 |
| 11 | Medical officer | 100 | 100 |
| 12 | Nephrologist Charges | 150 | |
| 13 | electricity | 100 | 100 |
| 14 | Bio medical waste | 30 | 30 |
| 15 | Tea & Snacks to patients | 20 | |
| 16 | Dialysis machine AMC | 30 | 30 |
| 17 | Citro and other Disinfection | 50 | |
| 18 | Taxes and Premise maintenance | 30 | |
| 19 | banners + Computers + Stationery | 35 | |
| Total Cost | 2205 | 510 ( Paid by GOV) |
Revised Dialysis Rates: ( Information supplied by Ahmedabad Nephrology Forum)
We shall keep our readers informed about government stand and the private nephrologists’ next steps, as they unfold.
(Rafat Quadri can be reached at editorbilkul@gmail.com)