Kidney failure and the federal government /
Kidney failure and the federal government /
Committee for the Study of the Medicare End-Stage Renal Disease Program, Division of Health Care Services, Institute of Medicine ; Richard A. Rettig and Norman G. Levinsky, editors.
- Washington, D.C. : National Academy Press, 1991.
- 1 online resource (xiv, 426 pages) : illustrations, charts
Includes bibliographical references and index.
""Kidney Failure and the Federal Government""; ""Copyright""; ""Acknowledgments""; ""Contents""; ""PART I Overview""; ""Summary""; ""THE CONGRESSIONAL CHARGE TO THE INSTITUTE OF MEDICINE""; ""BASIC ASSUMPTIONS""; ""ESRD PATIENTS AND THEIR TREATMENT""; ""ACCESS""; ""ETHICS""; ""THE PROVIDER COMMUNITY""; ""REIMBURSEMENT AND QUALITY""; ""Reimbursement Effects on Quality""; ""Outpatient Dialysis Reimbursement Issues""; ""Covered Services""; ""Rate-Setting and Payment Policy""; ""QUALITY ASSESSMENT AND ASSURANCE""; ""DATA SYSTEMS""; ""RESEARCH""; ""NOTES""; ""REFERENCES""; ""1 Introduction"" ""THE CONGRESSIONAL CHARGE""""BASIC ASSUMPTIONS""; ""CONTEXT OF THIS STUDY""; ""STUDY METHODS""; ""THE ESRD PATIENT POPULATION""; ""NATIONAL EXPENDITURES FOR ESRD""; ""ORGANIZATION OF THE REPORT""; ""NOTES""; ""REFERENCES""; ""PART II Patients and Providers""; ""2 Perspectives of ESRD Patients""; ""EXPERIENCES WITH RENAL FAILURE""; ""Patient Relationships with Physicians and Staff""; ""Patient Education""; ""Patient-Related Services""; ""Effect of Erythropoietin""; ""ECONOMIC EFFECTS OF KIDNEY FAILURE""; ""CONCLUSIONS""; ""NOTE""; ""REFERENCE""; ""3 Ethical Issues"" ""PATIENT ACCEPTANCE CRITERIA""""WITHDRAWAL FROM TREATMENT""; ""Guidelines""; ""Advance Directives""; ""TREATING THE PROBLEM PATIENT""; ""CONCLUSIONS AND RECOMMENDATIONS.""; ""NOTES""; ""REFERENCES""; ""4 The Patient Population""; ""INCIDENCE AND PREVALENCE""; ""COMPOSITION OF THE ESRD POPULATION""; ""MORTALITY ISSUES""; ""Unadjusted Mortality""; ""Adjusted Mortality""; ""Subgroup Mortality""; ""STATE AND REGIONAL MORTALITY DATA""; ""CROSS-NATIONAL MORTALITY DATA""; ""PROJECTIONS TO THE YEAR 20006""; ""NOTES""; ""REFERENCES""; ""5 The ESRD Patient Population: Special Groups"" ""PEDIATRIC PATIENTS""""ELDERLY ESRD PATIENTS""; ""DIABETIC PATIENTS""; ""HYPERTENSIVE PATIENTS""; ""Hypertension in the United States""; ""Relationship Between Hypertension and Hypertensive ESRD""; ""Epidemiology of ESRD Attributed to Hypertension""; ""Intervention""; ""MINORITY PATIENTS""; ""CONCLUSION""; ""NOTES""; ""REFERENCES""; ""6 Structure of the Provider Community""; ""OVERVIEW""; ""Outpatient Dialysis Facilities""; ""Kidney Transplant Centers""; ""Pediatric Facilities""; ""CHANGING STRUCTURE OF THE OUTPATIENT DIALYSIS COMMUNITY""; ""Hospital-Based Versus Independent Providers9"" ""Hospital-Based Providers""""Patients""; ""Independent Providers""; ""Outpatient Dialysis Facilities""; ""Not-For-Profit Versus For-Profit Providers11""; ""Not-For-Profit Providers""; ""For-Profit Providers""; ""Size of Outpatient Dialysis Facilities12""; ""Facility Ownership""; ""CONCLUSIONS""; ""NOTES""; ""REFERENCES""; ""PART III Access""; ""7 Access Problems of ESRD Patients""; ""ESRD PATIENTS NOT ELIGIBLE FOR MEDICARE""; ""Who Are the Reported Noneligibles?""; ""Magnitude of the Problem""; ""Geographic Variations""; ""Payment Sources""; ""State Medicaid Programs""
Use copy
Overview -- Summary -- Introduction -- Patients and providers -- Perspectives of ESRD patients -- Ethical issues -- The patient population -- The ESRD patient population: special groups -- Structure of the provider community -- Access -- Access problems of ESRD patients -- Access to kidney transplantation -- Reimbursement and quality -- Medicare ESRD payment policy -- Reimbursement effects on quality -- Outpatient dialysis reimbursement issues -- Quality assessment and assurance -- Data and research -- Data systems -- Research needs. Since 1972, many victims of endstage renal disease (ESRD) have received treatment under a unique Medicare entitlement. This book presents a comprehensive analysis of the federal ESRD program: who uses it, how well it functions, and what improvements are needed. The book includes recommendations on patient eligibility, reimbursement, quality assessment, medical ethics, and research needs. Kidney Failure and the Federal Government offers a wealth of information on these and other topics: The ESRD patient population ; Dialysis and transplantation providers ; Issues of patient access and availability of treatment ; Ethical issues related to treatment initiation and termination ; Payment policies and their relationship to quality of care. This book will have a major impact on the future of the ESRD program and will be of interest to health policymakers, nephrologists and other individual providers, treatment site administrators, and researchers.
Electronic reproduction.
[S.l.] :
HathiTrust Digital Library,
2010.
Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002.
http://purl.oclc.org/DLF/benchrepro0212
English.
0585155607 (electronic bk.) 9780585155609 (electronic bk.) (hardback) (hardback) 1280203986 9781280203985 9786610203987 6610203989 0309597692 9780309597692
United States. Medicare Bureau. End-Stage Renal Disease Program.
United States. Medicare Bureau. End-Stage Renal Disease Program.
United States. Medicare Bureau. End-Stage Renal Disease Program.
Chronic renal failure--Government policy--United States.
Medicare.
Medical policy.
Sociology.
Vital statistics.
Social sciences.
Urinary organs--Diseases.
Health services accessibility.
Health behavior.
Urinary organs.
Patient compliance.
Weights and measures.
Non-governmental organizations.
Adulthood.
Insurance.
Health planning.
Surgery, Operative.
National health services.
Health services administration.
Mathematics.
Therapeutics.
Social control.
Medical care.
Information storage and retrieval systems.
Genitourinary organs--Diseases.
Public welfare.
Demography.
Human behavior.
Physical sciences.
Public health.
Human rights.
Genitourinary organs.
Nursing care plans.
Health attitudes.
Philosophy.
Diseases.
Anatomy.
Humanities.
Children.
Federal government.
Kidneys--Diseases.
Mortality.
Minorities.
Quality of life.
Economics.
Statistics.
Medical personnel.
Kidneys.
Chronic renal failure.
Age factors in disease.
Medicaid.
Health facilities.
Cost effectiveness.
Hemodialysis.
Patient refusal of treatment.
Older people.
Transplantation of organs, tissues, etc.
Health Policy
Kidney Failure, Chronic--economics
Kidney Failure, Chronic--therapy
Medicare--economics
Sociology
Population Characteristics
Legislation as Topic
Jurisprudence
Health Care Facilities, Manpower, and Services.
Vital Statistics
Social Sciences
Sorption Detoxification
Age Groups.
Financing, Organized
Social Control Policies
Urologic Diseases
Epidemiologic Methods
Health Services Accessibility
Epidemiologic Factors
Renal Replacement Therapy
Health Behavior
Urinary Tract
Medical Assistance
Health Care Economics and Organizations.
Health Care Quality, Access, and Evaluation.
Renal Insufficiency, Chronic
Costs and Cost Analysis
Advance Care Planning
Databases as Topic
Patient Acceptance of Health Care
Health Care Evaluation Mechanisms
Patient Rights
Weights and Measures
Organizations
Adult
Occupational Groups
Insurance
Health Planning
Surgical Procedures, Operative
Health Services
Health Services Administration
Life
Mathematics
Therapeutics
Patient Care Management
North America.
Social Control, Formal
Delivery of Health Care
Information Systems
Male Urogenital Diseases
Public Assistance
Investigative Techniques.
Data Collection
Demography
Anthropology, Education, Sociology and Social Phenomena.
Behavior
Natural Science Disciplines
Persons.
Public Health
Policy
Human Rights
Americas.
Urogenital System
Analytical, Diagnostic and Therapeutic Techniques and Equipment.
Patient Care Planning
Renal Insufficiency
Female Urogenital Diseases
Attitude to Health
Information Storage and Retrieval
Philosophy
Information Science
Disciplines and Occupations.
Female Urogenital Diseases and Pregnancy Complications.
Medical Informatics Applications
Epidemiologic Measurements
Disease
Environment and Public Health.
Geographic Locations.
Behavior and Behavior Mechanisms.
Named Groups.
Comprehensive Health Care
Anatomy
Humanities
Medical Informatics
Geographicals.
Psychiatry and Psychology.
Child
Federal Government
Kidney Diseases
Mortality
Advance Directives
Databases, Factual
Minority Groups
Quality of Health Care
Quality of Life
Economics
Fees and Charges
Statistics as Topic
Financial Support
Health Personnel
Kidney
Kidney Failure, Chronic
Withholding Treatment
Age Factors
Medicaid
Patient Care
Public Policy
Health Facilities
Medicare
Morbidity
Socioeconomic Factors
Cost-Benefit Analysis
Renal Dialysis
Treatment Refusal
Government
Aged
Reference Standards
Resource Allocation
Health Care Rationing
Insurance, Health
United States.
Financing, Government
Organ Transplantation
Transplantation
Insuffisance rénale chronique--Politique gouvernementale--États-Unis.
Medicare.
Politique sanitaire.
Sociologie.
Statistiques de l'état civil.
Sciences sociales.
Appareil urinaire--Maladies.
Services de santé--Accessibilité.
Habitudes sanitaires.
Appareil urinaire.
Testament biologique.
Patients--Coopération.
Poids et mesures.
Organisations non gouvernementales.
Adultes.
Assurance.
Santé publique--Planification.
Chirurgie opératoire.
Services de santé.
Services de santé--Administration.
Mathématiques.
Thérapeutique.
Contrôle social.
Prestation de soins.
Systèmes d'information.
Appareil urogénital--Maladies.
Aide sociale.
Statistique--Méthodologie.
Démographie.
Comportement humain.
Sciences physiques.
Santé publique.
Droits de l'homme (Droit international)
Appareil urogénital.
Plans de soins.
Attitudes à l'égard de la santé.
Philosophie.
Médecine--Informatique.
Maladies.
Anatomie.
Sciences humaines.
Enfants.
Gouvernement fédéral.
Reins--Maladies.
Mortalité.
Minorités.
Qualité de la vie.
Économie politique.
Statistiques.
Personnel médical.
Reins.
Insuffisance rénale chronique.
Maladies--Facteurs liés à l'âge.
Medicaid.
Soins médicaux.
Équipements sanitaires.
Coût-efficacité.
Hémodialyse.
Refus de traitement.
Institutions politiques.
Personnes âgées.
Assurance-maladie.
Aide de l'État.
Greffe (Chirurgie)
sociology.
social sciences.
insurance.
welfare services.
demography.
human behavior.
physical sciences.
public health.
philosophy.
anatomy.
humanities.
children (people by age group)
federal government.
mortality.
minorities.
quality of life.
economics.
health facilities.
cost benefit analysis.
governments (administrative bodies)
elderly.
federal aid.
HEALTH & FITNESS--Health Care Issues.
MEDICAL--Public Health.
MEDICAL--Health Policy.
HEALTH & FITNESS--Diseases--General.
MEDICAL--Diseases.
MEDICAL--Health Care Delivery.
Chronic renal failure--Government policy.
Medicare.
Nierinsufficiëntie.
Behandelingsmethoden.
United States
United States.
Electronic books.
Electronic books.
RA645.K5 / I57 1991eb
362.1/9614/00973
WJ 342 / I593k 1991
Includes bibliographical references and index.
""Kidney Failure and the Federal Government""; ""Copyright""; ""Acknowledgments""; ""Contents""; ""PART I Overview""; ""Summary""; ""THE CONGRESSIONAL CHARGE TO THE INSTITUTE OF MEDICINE""; ""BASIC ASSUMPTIONS""; ""ESRD PATIENTS AND THEIR TREATMENT""; ""ACCESS""; ""ETHICS""; ""THE PROVIDER COMMUNITY""; ""REIMBURSEMENT AND QUALITY""; ""Reimbursement Effects on Quality""; ""Outpatient Dialysis Reimbursement Issues""; ""Covered Services""; ""Rate-Setting and Payment Policy""; ""QUALITY ASSESSMENT AND ASSURANCE""; ""DATA SYSTEMS""; ""RESEARCH""; ""NOTES""; ""REFERENCES""; ""1 Introduction"" ""THE CONGRESSIONAL CHARGE""""BASIC ASSUMPTIONS""; ""CONTEXT OF THIS STUDY""; ""STUDY METHODS""; ""THE ESRD PATIENT POPULATION""; ""NATIONAL EXPENDITURES FOR ESRD""; ""ORGANIZATION OF THE REPORT""; ""NOTES""; ""REFERENCES""; ""PART II Patients and Providers""; ""2 Perspectives of ESRD Patients""; ""EXPERIENCES WITH RENAL FAILURE""; ""Patient Relationships with Physicians and Staff""; ""Patient Education""; ""Patient-Related Services""; ""Effect of Erythropoietin""; ""ECONOMIC EFFECTS OF KIDNEY FAILURE""; ""CONCLUSIONS""; ""NOTE""; ""REFERENCE""; ""3 Ethical Issues"" ""PATIENT ACCEPTANCE CRITERIA""""WITHDRAWAL FROM TREATMENT""; ""Guidelines""; ""Advance Directives""; ""TREATING THE PROBLEM PATIENT""; ""CONCLUSIONS AND RECOMMENDATIONS.""; ""NOTES""; ""REFERENCES""; ""4 The Patient Population""; ""INCIDENCE AND PREVALENCE""; ""COMPOSITION OF THE ESRD POPULATION""; ""MORTALITY ISSUES""; ""Unadjusted Mortality""; ""Adjusted Mortality""; ""Subgroup Mortality""; ""STATE AND REGIONAL MORTALITY DATA""; ""CROSS-NATIONAL MORTALITY DATA""; ""PROJECTIONS TO THE YEAR 20006""; ""NOTES""; ""REFERENCES""; ""5 The ESRD Patient Population: Special Groups"" ""PEDIATRIC PATIENTS""""ELDERLY ESRD PATIENTS""; ""DIABETIC PATIENTS""; ""HYPERTENSIVE PATIENTS""; ""Hypertension in the United States""; ""Relationship Between Hypertension and Hypertensive ESRD""; ""Epidemiology of ESRD Attributed to Hypertension""; ""Intervention""; ""MINORITY PATIENTS""; ""CONCLUSION""; ""NOTES""; ""REFERENCES""; ""6 Structure of the Provider Community""; ""OVERVIEW""; ""Outpatient Dialysis Facilities""; ""Kidney Transplant Centers""; ""Pediatric Facilities""; ""CHANGING STRUCTURE OF THE OUTPATIENT DIALYSIS COMMUNITY""; ""Hospital-Based Versus Independent Providers9"" ""Hospital-Based Providers""""Patients""; ""Independent Providers""; ""Outpatient Dialysis Facilities""; ""Not-For-Profit Versus For-Profit Providers11""; ""Not-For-Profit Providers""; ""For-Profit Providers""; ""Size of Outpatient Dialysis Facilities12""; ""Facility Ownership""; ""CONCLUSIONS""; ""NOTES""; ""REFERENCES""; ""PART III Access""; ""7 Access Problems of ESRD Patients""; ""ESRD PATIENTS NOT ELIGIBLE FOR MEDICARE""; ""Who Are the Reported Noneligibles?""; ""Magnitude of the Problem""; ""Geographic Variations""; ""Payment Sources""; ""State Medicaid Programs""
Use copy
Overview -- Summary -- Introduction -- Patients and providers -- Perspectives of ESRD patients -- Ethical issues -- The patient population -- The ESRD patient population: special groups -- Structure of the provider community -- Access -- Access problems of ESRD patients -- Access to kidney transplantation -- Reimbursement and quality -- Medicare ESRD payment policy -- Reimbursement effects on quality -- Outpatient dialysis reimbursement issues -- Quality assessment and assurance -- Data and research -- Data systems -- Research needs. Since 1972, many victims of endstage renal disease (ESRD) have received treatment under a unique Medicare entitlement. This book presents a comprehensive analysis of the federal ESRD program: who uses it, how well it functions, and what improvements are needed. The book includes recommendations on patient eligibility, reimbursement, quality assessment, medical ethics, and research needs. Kidney Failure and the Federal Government offers a wealth of information on these and other topics: The ESRD patient population ; Dialysis and transplantation providers ; Issues of patient access and availability of treatment ; Ethical issues related to treatment initiation and termination ; Payment policies and their relationship to quality of care. This book will have a major impact on the future of the ESRD program and will be of interest to health policymakers, nephrologists and other individual providers, treatment site administrators, and researchers.
Electronic reproduction.
[S.l.] :
HathiTrust Digital Library,
2010.
Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002.
http://purl.oclc.org/DLF/benchrepro0212
English.
0585155607 (electronic bk.) 9780585155609 (electronic bk.) (hardback) (hardback) 1280203986 9781280203985 9786610203987 6610203989 0309597692 9780309597692
United States. Medicare Bureau. End-Stage Renal Disease Program.
United States. Medicare Bureau. End-Stage Renal Disease Program.
United States. Medicare Bureau. End-Stage Renal Disease Program.
Chronic renal failure--Government policy--United States.
Medicare.
Medical policy.
Sociology.
Vital statistics.
Social sciences.
Urinary organs--Diseases.
Health services accessibility.
Health behavior.
Urinary organs.
Patient compliance.
Weights and measures.
Non-governmental organizations.
Adulthood.
Insurance.
Health planning.
Surgery, Operative.
National health services.
Health services administration.
Mathematics.
Therapeutics.
Social control.
Medical care.
Information storage and retrieval systems.
Genitourinary organs--Diseases.
Public welfare.
Demography.
Human behavior.
Physical sciences.
Public health.
Human rights.
Genitourinary organs.
Nursing care plans.
Health attitudes.
Philosophy.
Diseases.
Anatomy.
Humanities.
Children.
Federal government.
Kidneys--Diseases.
Mortality.
Minorities.
Quality of life.
Economics.
Statistics.
Medical personnel.
Kidneys.
Chronic renal failure.
Age factors in disease.
Medicaid.
Health facilities.
Cost effectiveness.
Hemodialysis.
Patient refusal of treatment.
Older people.
Transplantation of organs, tissues, etc.
Health Policy
Kidney Failure, Chronic--economics
Kidney Failure, Chronic--therapy
Medicare--economics
Sociology
Population Characteristics
Legislation as Topic
Jurisprudence
Health Care Facilities, Manpower, and Services.
Vital Statistics
Social Sciences
Sorption Detoxification
Age Groups.
Financing, Organized
Social Control Policies
Urologic Diseases
Epidemiologic Methods
Health Services Accessibility
Epidemiologic Factors
Renal Replacement Therapy
Health Behavior
Urinary Tract
Medical Assistance
Health Care Economics and Organizations.
Health Care Quality, Access, and Evaluation.
Renal Insufficiency, Chronic
Costs and Cost Analysis
Advance Care Planning
Databases as Topic
Patient Acceptance of Health Care
Health Care Evaluation Mechanisms
Patient Rights
Weights and Measures
Organizations
Adult
Occupational Groups
Insurance
Health Planning
Surgical Procedures, Operative
Health Services
Health Services Administration
Life
Mathematics
Therapeutics
Patient Care Management
North America.
Social Control, Formal
Delivery of Health Care
Information Systems
Male Urogenital Diseases
Public Assistance
Investigative Techniques.
Data Collection
Demography
Anthropology, Education, Sociology and Social Phenomena.
Behavior
Natural Science Disciplines
Persons.
Public Health
Policy
Human Rights
Americas.
Urogenital System
Analytical, Diagnostic and Therapeutic Techniques and Equipment.
Patient Care Planning
Renal Insufficiency
Female Urogenital Diseases
Attitude to Health
Information Storage and Retrieval
Philosophy
Information Science
Disciplines and Occupations.
Female Urogenital Diseases and Pregnancy Complications.
Medical Informatics Applications
Epidemiologic Measurements
Disease
Environment and Public Health.
Geographic Locations.
Behavior and Behavior Mechanisms.
Named Groups.
Comprehensive Health Care
Anatomy
Humanities
Medical Informatics
Geographicals.
Psychiatry and Psychology.
Child
Federal Government
Kidney Diseases
Mortality
Advance Directives
Databases, Factual
Minority Groups
Quality of Health Care
Quality of Life
Economics
Fees and Charges
Statistics as Topic
Financial Support
Health Personnel
Kidney
Kidney Failure, Chronic
Withholding Treatment
Age Factors
Medicaid
Patient Care
Public Policy
Health Facilities
Medicare
Morbidity
Socioeconomic Factors
Cost-Benefit Analysis
Renal Dialysis
Treatment Refusal
Government
Aged
Reference Standards
Resource Allocation
Health Care Rationing
Insurance, Health
United States.
Financing, Government
Organ Transplantation
Transplantation
Insuffisance rénale chronique--Politique gouvernementale--États-Unis.
Medicare.
Politique sanitaire.
Sociologie.
Statistiques de l'état civil.
Sciences sociales.
Appareil urinaire--Maladies.
Services de santé--Accessibilité.
Habitudes sanitaires.
Appareil urinaire.
Testament biologique.
Patients--Coopération.
Poids et mesures.
Organisations non gouvernementales.
Adultes.
Assurance.
Santé publique--Planification.
Chirurgie opératoire.
Services de santé.
Services de santé--Administration.
Mathématiques.
Thérapeutique.
Contrôle social.
Prestation de soins.
Systèmes d'information.
Appareil urogénital--Maladies.
Aide sociale.
Statistique--Méthodologie.
Démographie.
Comportement humain.
Sciences physiques.
Santé publique.
Droits de l'homme (Droit international)
Appareil urogénital.
Plans de soins.
Attitudes à l'égard de la santé.
Philosophie.
Médecine--Informatique.
Maladies.
Anatomie.
Sciences humaines.
Enfants.
Gouvernement fédéral.
Reins--Maladies.
Mortalité.
Minorités.
Qualité de la vie.
Économie politique.
Statistiques.
Personnel médical.
Reins.
Insuffisance rénale chronique.
Maladies--Facteurs liés à l'âge.
Medicaid.
Soins médicaux.
Équipements sanitaires.
Coût-efficacité.
Hémodialyse.
Refus de traitement.
Institutions politiques.
Personnes âgées.
Assurance-maladie.
Aide de l'État.
Greffe (Chirurgie)
sociology.
social sciences.
insurance.
welfare services.
demography.
human behavior.
physical sciences.
public health.
philosophy.
anatomy.
humanities.
children (people by age group)
federal government.
mortality.
minorities.
quality of life.
economics.
health facilities.
cost benefit analysis.
governments (administrative bodies)
elderly.
federal aid.
HEALTH & FITNESS--Health Care Issues.
MEDICAL--Public Health.
MEDICAL--Health Policy.
HEALTH & FITNESS--Diseases--General.
MEDICAL--Diseases.
MEDICAL--Health Care Delivery.
Chronic renal failure--Government policy.
Medicare.
Nierinsufficiëntie.
Behandelingsmethoden.
United States
United States.
Electronic books.
Electronic books.
RA645.K5 / I57 1991eb
362.1/9614/00973
WJ 342 / I593k 1991