Table of Contents
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Front Matter	i-xiv
Part I: Overview, Summary	1-22	(skim)
Introduction	23-36	(skim)
Part II: Patients and Providers, Perspectives of ESRD Patients	37-50	(skim)
Ethical Issues	51-61	(skim)
The Patient Population	62-84	(skim)
The ESRD Patient Population: Special Groups	85-109	(skim)
Structure of the Provider Community	110-132	(skim)
Part III: Access, Access Problems of ESRD Patients	133-166	(skim)
Access to Kidney Transplantation	167-188	(skim)
Part IV: Reimbursement and Quality, Medicare ESRD Payment Policy	189-211	(skim)
Reimbusement Effects on Quality	212-235	(skim)
Outpatient Dialysis Reimbursement Issues	236-273	(skim)
Quality Assessment and Assurance	274-312	(skim)
Part V: Data and Research, Data Systems	313-327	(skim)
Research Needs	328-334	(skim)
Appendix A: Glossary	335-346	(skim)
Appendix B: Acronyms and Initialisms	347-350	(skim)
Appendix C: Commissioned Papers and Contractor Reports	351-352	(skim)
Appendix D: Survival Analysis Methods for the End-Stage Renal Disease (ESRD) Program of Medicare	353-400	(skim)
Appendix E: Institute of Medicine ESRD Study Committee Public Hearing, May 5, 1989, Chicago, Illinois	401-402	(skim)
Appendix F: Institute of Medicine ESRD Study Committee Public Hearing on	403-404	(skim)
Appendix G: Institute of Medicine ESRD Study Committee Workshop on ESRD Staffing, November 3, 1989, Washington, D.C.	405-405	(skim)
Appendix H: Institute of Medicine ESRD Study Committee Workshop on Kidney Transplantation, December 13, 1989, Washington, D.C.	406-407	(skim)
Appendix I: Institute of Medicine ESRD Study Committee Workshop on Black and Other Nonwhite ESRD Patients, May 15, 1990, Washington, D.C.	408-408	(skim)
Appendix J: Institute of Medicine ESRD Study Committee ESRD Patient Focus-Group Participants	409-410	(skim)
Index	411-426	(skim)

Description

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.

Authoring Organizations

• Institute of Medicine (IOM)
• More Titles from IOM

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