| Description |
1 online resource (xvi, 214 pages) : illustrations. |
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data file |
| Physical Medium |
polychrome |
| Series |
American governance and public policy series
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American governance and public policy.
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| Bibliography |
Includes bibliographical references and index. |
| Contents |
Medical governance : important but neglected -- Balancing values, expertise, and interests -- The organ procurement and transplantation network -- Expanding organ supply -- Liver allocation and the final rule -- Incremental response to racial disparity in kidney allocation -- The kidney allocation review : can the OPTN make nonincremental change? -- How and how well does the OPTN govern? -- Is the OPTN a viable and desirable model in other medical contexts? |
| Summary |
Governments throughout the industrialized world make decisions that fundamentally affect the quality and accessibility of medical care. In the United States, despite the absence of universal health insurance, these decisions have great influence on the practice of medicine. In Medical Governance, David Weimer explores an alternative regulatory approach to medical care based on the delegation of decisions about the allocation of scarce medical resources to private nonprofit organizations. He investigates the specific development of rules for the U.S. organ transplant system and details the conversion of a voluntary network of transplant centers to one private rulemaker: the Organ Procurement and Transplantation Network (OPTN). As the case unfolds, Weimer demonstrates that the OPTN is more efficient, nimble, and better at making evidence-based decisions than a public agency; and the OPTN also protects accountability and the public interest more than private for-profit organizations. Weimer addresses similar governance arrangements as they could apply to other areas of medicine, including medical records and the control of Medicare expenditures, making this timely and useful case study a valuable resource for debates over restructuring the U.S. health care system. |
| Local Note |
eBooks on EBSCOhost EBSCO eBook Subscription Academic Collection - North America |
| Language |
English. |
| Subject |
Organ Procurement and Transplantation Network (United States)
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Organ Procurement and Transplantation Network (United States) |
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Procurement of organs, tissues, etc. -- United States.
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Procurement of organs, tissues, etc. |
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United States. |
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Transplantation of organs, tissues, etc. -- United States.
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Transplantation of organs, tissues, etc. |
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United States. |
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MEDICAL -- Surgery -- Transplant. |
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MEDICAL -- Health Policy. |
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Transplantat. |
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Allokation. |
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Organspende. |
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USA. |
| Genre/Form |
Electronic books.
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Electronic books.
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| Other Form: |
Print version: Weimer, David Leo. Medical governance. Washington, DC : Georgetown University Press, ©2010 9781589016316 (DLC) 2009024524 (OCoLC)403362587 |
| ISBN |
9781589016828 (electronic book) |
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1589016823 (electronic book) |
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9781589016316 |
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1589016319 |
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