Medical governance : values, expertise, and interests in organ transplantation / David L. Weimer.
2010
RD129.5 .W45 2010eb
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Title
Medical governance : values, expertise, and interests in organ transplantation / David L. Weimer.
Author
ISBN
9781589016828 (electronic bk.)
1589016823 (electronic bk.)
9781589016316
1589016319
1589016823 (electronic bk.)
9781589016316
1589016319
Imprint
Washington, DC : Georgetown University Press, ©2010.
Language
English
Language Note
English.
Description
1 online resource (xvi, 214 pages) : illustrations
Call Number
RD129.5 .W45 2010eb
System Control No.
(OCoLC)711003834
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.
Bibliography, etc. Note
Includes bibliographical references and index.
Formatted Contents Note
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?
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?
Digital File Characteristics
data file
Source of Description
Print version record.
Series
American governance and public policy.
Available in Other Form
Print version: Weimer, David Leo. Medical governance. Washington, DC : Georgetown University Press, ©2010
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