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The Resource 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

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

Creator
Contributor
Summary
  • 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
Language
eng
Work
Publication
Extent
1 online resource (xiv, 426 pages)
Contents
  • ""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""
Isbn
9786610203987
Instance
Label
Kidney failure and the federal government
Title
Kidney failure and the federal government
Statement of responsibility
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
Creator
Contributor
Subject
Genre
Language
eng
Summary
  • 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
Member of
Action
digitized
Cataloging source
INU
Dewey number
362.1/9614/00973
Illustrations
  • illustrations
  • charts
Index
index present
Language note
English
LC call number
RA645.K5
LC item number
I57 1991eb
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
NLM call number
WJ 342
NLM item number
I593k 1991
http://bibfra.me/vocab/lite/organizationName
Institute of Medicine (U.S.)
http://library.link/vocab/relatedWorkOrContributorDate
1929-
http://library.link/vocab/relatedWorkOrContributorName
  • Rettig, Richard A
  • Levinsky, Norman G.
http://library.link/vocab/subjectName
  • United States
  • Chronic renal failure
  • Medicare
  • Health Policy
  • Kidney Failure, Chronic
  • Kidney Failure, Chronic
  • Medicare
  • United States
  • 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
  • United States
  • HEALTH & FITNESS
  • MEDICAL
  • MEDICAL
  • HEALTH & FITNESS
  • MEDICAL
  • MEDICAL
  • Chronic renal failure
  • Medicare
  • United States
  • Nierinsufficiëntie
  • Behandelingsmethoden
Label
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
Instantiates
Publication
Bibliography note
Includes bibliographical references and index
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Color
multicolored
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Contents
  • ""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""
Control code
70772779
Dimensions
unknown
Extent
1 online resource (xiv, 426 pages)
Form of item
online
Isbn
9786610203987
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations, charts
Reproduction note
Electronic reproduction.
Specific material designation
remote
System control number
(OCoLC)70772779
System details
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.
Label
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
Publication
Bibliography note
Includes bibliographical references and index
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Color
multicolored
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Contents
  • ""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""
Control code
70772779
Dimensions
unknown
Extent
1 online resource (xiv, 426 pages)
Form of item
online
Isbn
9786610203987
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations, charts
Reproduction note
Electronic reproduction.
Specific material designation
remote
System control number
(OCoLC)70772779
System details
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.

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