A Survey of Home Enteral Nutrition Practices and Reimbursement in the Asia Pacific Region

Wong, Alvin, Banks, Merrilyn D. and Bauer, Judith D. (2018) A Survey of Home Enteral Nutrition Practices and Reimbursement in the Asia Pacific Region. Nutrients, 10 2: 1-13. doi:10.3390/nu10020214

Author Wong, Alvin
Banks, Merrilyn D.
Bauer, Judith D.
Title A Survey of Home Enteral Nutrition Practices and Reimbursement in the Asia Pacific Region
Journal name Nutrients   Check publisher's open access policy
ISSN 2072-6643
Publication date 2018-02-14
Year available 2018
Sub-type Article (original research)
DOI 10.3390/nu10020214
Open Access Status DOI
Volume 10
Issue 2
Start page 1
End page 13
Total pages 13
Place of publication Basel, Switzerland
Publisher MDPI AG
Abstract Literature regarding the use of home enteral nutrition (HEN) and how it is reimbursed in the Asia Pacific region is limited. This research survey aims to determine the availability of HEN, the type of feeds and enteral access used, national reimbursement policies, the presence of nutrition support teams (NSTs), and clinical nutrition education in this region. An electronic questionnaire was sent to 20 clinical nutrition societies and leaders in the Asia Pacific region in August 2017, where thirteen countries responded. Comparison of HEN reimbursement and practice between countries of different income groups based on the World Bank's data was investigated. Financial support for HEN is only available in 40% of the countries. An association was found between availability of financial support for HEN and health expenditure (= 0.63,= 0.021). High and middle-upper income countries use mainly commercial supplements for HEN, while lower-middle income countries use mainly blenderized diet. The presence of NSTs is limited, and only present mainly in acute settings. Sixty percent of the countries indicated an urgent need for funding and reimbursement of HEN. This survey demonstrates the varied clinical and economic situation in the Asia Pacific region. There is a lack of reimbursement, clinical support, and inadequate educational opportunities, especially for the lower-middle income countries.
Keyword funding
home enteral nutrition
nutrition education
nutrition support team
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Human Movement and Nutrition Sciences Publications
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Created: Wed, 21 Feb 2018, 11:06:23 EST