Health insurance or subsidy has universal advantage for management of hospital malnutrition unrelated to GDP. Other Scholarly Work

Klek, Stanislaw, Chourdakis, Michael, Abosaleh, Dima Abdulqudos et al. (2017). Health insurance or subsidy has universal advantage for management of hospital malnutrition unrelated to GDP. . ASIA PACIFIC JOURNAL OF CLINICAL NUTRITION, 26(2), 247-254. 10.6133/apjcn.122015.07

cited authors

  • Klek, Stanislaw; Chourdakis, Michael; Abosaleh, Dima Abdulqudos; Amestoy, Alejandra; Baik, Hyun Wook; Baptista, Gertrudis; Barazzoni, Rocco; Fukushima, Ryoji; Hartono, Josef; Jayawardena, Ranil; Garcia, Rafael Jimenez; Krznaric, Zeljko; Nyulasi, Ibolya; Parallada, Gabriela; Francisco, Eliza Mei Perez; Panisic-Sekeljic, Marina; Perman, Mario; Prins, Arina; Del Rio Requejo, Isabel Martinez; Reddy, Ravinder; Singer, Pierre; Sioson, Marianna; Ukleja, Andrew; Vartanian, Carla; Fuentes, Nicolas Velasco; Waitzberg, Dan Linetzky; Zoungrana, Steve Leonce; Galas, Aleksander

abstract

  • Background and objectives

    Protein-energy and micronutrient malnutrition are global public health problems which, when not prevented and severe, require medical management by clinicians with nutrition expertise, preferably as a collectively skilled team, especially when disease-related. This study aimed to investigate barriers and facilitators of clinical nutrition services (CNS), especially the use of oral, enteral (EN) and parenteral (PN) nutrition in institutional and home settings.

    Methods and study design

    An international survey was performed between January and December 2014 in twenty-six countries from all continents. Electronic questionnaires were distributed to 28 representatives of clinical nutrition (PEN) societies, 27 of whom responded. The questionnaire comprised questions regarding a country's economy, reimbursement for CNS, education about and the use of EN and PN.

    Results

    The prevalence of malnutrition was not related to gross domestic product (GDP) at purchasing power parity (PPP) per capita (p=0.186). EN and PN were used in all countries surveyed (100%), but to different extents. Reimbursement of neither EN nor PN use depended on GDP, but was associated with increased use of EN and PN in hospitals (p=0.035), although not evident for home or chronic care facilities. The size of GDP did not affect the use of EN (p=0.256), but it mattered for PN (p=0.019).

    Conclusions

    A worldwide survey by nutrition support societies did not find a link between national economic performance and the implementation of medical nutrition services. Reimbursement for CNS, available through health insurance systems, is a factor in effective nutrition management.

publication date

  • March 1, 2017

keywords

  • Enteral Nutrition
  • Gross Domestic Product
  • Hospitals
  • Humans
  • Insurance, Health
  • Malnutrition
  • Nutrition Therapy
  • Nutritional Status
  • Parenteral Nutrition
  • Reimbursement Mechanisms
  • Surveys and Questionnaires

Digital Object Identifier (DOI)

Medium

  • Print

start page

  • 247

end page

  • 254

volume

  • 26

issue

  • 2