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Nutrients 2018, 10(2), 214;

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

Dietetic and Food Services, Changi General Hospital, Singapore 529889, Singapore
School of Human Movement and Nutrition Sciences, University of Queensland, St Lucia QLD 4072, Queensland, Australia
Department of Nutrition and Dietetics, Royal Brisbane and Women’s Hospital, Herston QLD 4029, Queensland, Australia
Author to whom correspondence should be addressed.
Received: 21 December 2017 / Revised: 11 February 2018 / Accepted: 13 February 2018 / Published: 14 February 2018
(This article belongs to the Special Issue Advances in Enteral Nutrition)
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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 (r = 0.63, p = 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. View Full-Text
Keywords: home enteral nutrition; nutrition support team; reimbursement; funding; nutrition education home enteral nutrition; nutrition support team; reimbursement; funding; nutrition education
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Wong, A.; Banks, M.D.; Bauer, J.D. A Survey of Home Enteral Nutrition Practices and Reimbursement in the Asia Pacific Region. Nutrients 2018, 10, 214.

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