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.) SUBJECT Organ Procurement and Transplantation Network (U.S.) Organ Procurement and Transplantation Network (United States) fast Subject 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 SUBJECT United States https://id.nlm.nih.gov/mesh/D014481 Subject United States USA Form Electronic book LC no. 2009024524 ISBN 9781589016828 1589016823

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