Medical governance : values, expertise, and interests in organ transplantation
著者
書誌事項
Medical governance : values, expertise, and interests in organ transplantation
(American governance and public policy)
Georgetown University Press, c2010
- : pbk
大学図書館所蔵 全7件
  青森
  岩手
  宮城
  秋田
  山形
  福島
  茨城
  栃木
  群馬
  埼玉
  千葉
  東京
  神奈川
  新潟
  富山
  石川
  福井
  山梨
  長野
  岐阜
  静岡
  愛知
  三重
  滋賀
  京都
  大阪
  兵庫
  奈良
  和歌山
  鳥取
  島根
  岡山
  広島
  山口
  徳島
  香川
  愛媛
  高知
  福岡
  佐賀
  長崎
  熊本
  大分
  宮崎
  鹿児島
  沖縄
  韓国
  中国
  タイ
  イギリス
  ドイツ
  スイス
  フランス
  ベルギー
  オランダ
  スウェーデン
  ノルウェー
  アメリカ
注記
Includes bibliographical references and index
収録内容
- 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?
内容説明・目次
内容説明
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.
目次
IllustrationsPrefaceAbbreviations and Acronyms 1. Medical Governance: Important but Neglected 2. Balancing Values, Expertise, and Interests 3. The Organ Procurement and Transplantation Network 4. Expanding Organ Supply 5. Liver Allocation and the Final Rule 6. Incremental Response to Racial Disparity in Kidney Allocation 7. The Kidney Allocation Review: Can The OPTN Make Nonincremental Change? 8. How and How Well Does the OPTN Govern? 9. Is the OPTN a Viable and Desirable Model in Other Medical Contexts? References Index
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