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Book Cover
E-book
Author Weimer, David Leo

Title Medical governance : values, expertise, and interests in organ transplantation / David L. Weimer
Published Washington, DC : Georgetown University Press, ©2010

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Description 1 online resource (xvi, 214 pages) : illustrations
Series American governance and public policy series
American governance and public policy
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
Bibliography Includes bibliographical references and index
Notes English
Print version record
Subject Organ Procurement and Transplantation Network (U.S.)
Organ Procurement and Transplantation Network (U.S.)
Organ Procurement and Transplantation Network (United States)
Procurement of organs, tissues, etc. -- United States
Transplantation of organs, tissues, etc. -- United States
Organ Transplantation -- legislation & jurisprudence
Government Regulation
Tissue and Organ Procurement -- legislation & jurisprudence
MEDICAL -- Surgery -- Transplant.
MEDICAL -- Health Policy.
Procurement of organs, tissues, etc.
Transplantation of organs, tissues, etc.
Allokation
Organspende
Transplantat
Transplantat
Allokation
Organspende
United States
United States
USA
Form Electronic book
LC no. 2009024524
ISBN 9781589016828
1589016823