Medical governance : values, expertise, and interests in organ transplantation
Author(s)
Bibliographic Information
Medical governance : values, expertise, and interests in organ transplantation
(American governance and public policy)
Georgetown University Press, c2010
- : pbk
Available at 7 libraries
  Aomori
  Iwate
  Miyagi
  Akita
  Yamagata
  Fukushima
  Ibaraki
  Tochigi
  Gunma
  Saitama
  Chiba
  Tokyo
  Kanagawa
  Niigata
  Toyama
  Ishikawa
  Fukui
  Yamanashi
  Nagano
  Gifu
  Shizuoka
  Aichi
  Mie
  Shiga
  Kyoto
  Osaka
  Hyogo
  Nara
  Wakayama
  Tottori
  Shimane
  Okayama
  Hiroshima
  Yamaguchi
  Tokushima
  Kagawa
  Ehime
  Kochi
  Fukuoka
  Saga
  Nagasaki
  Kumamoto
  Oita
  Miyazaki
  Kagoshima
  Okinawa
  Korea
  China
  Thailand
  United Kingdom
  Germany
  Switzerland
  France
  Belgium
  Netherlands
  Sweden
  Norway
  United States of America
Note
Includes bibliographical references and index
Contents of Works
- 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?
Description and Table of Contents
Description
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.
Table of Contents
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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