PUBLIC POLICY AND THE TREATMENT OF KIDNEY FAILURE

公共政策和肾衰竭的治疗

• 批准号: 2238330
• 负责人: RICHARD A RETTIG
• 金额: $ 4.4万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 1995
• 资助国家: 美国
• 起止时间: 1995-09-01 至 1998-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2238330
• 关键词: Medicare /Medicaid; United States; books; chronic renal failure; continuous ambulatory peritoneal dialysis; dialysis therapy; epidemiology; governmental health /scientific organization; health care policy; health care service evaluation; health economics; health system agency; hemodialysis; human data; kidney transplantation; public health

Description: The aim of this project is to prepare a book-length manuscript about federal government policies--medical research, capacity development, treatment financing--toward end-stage renal disease (ESRD) from 1960 to the present. This embraces the therapies of dialysis (hemodialysis and peritoneal dialysis) and kidney transplantation. The ms. will attempt to provide a coherent, full-length history of a unique policy response to expensive, life-saving medical innovations. The audiences will be policy makers, clinicians, and the attentive public. This ms. will attempt to draw lessons regarding the clinical, epidemiological, and ethical issues involved in federal government policies toward this chronic disease. Part one of the ms. will deal with the emergence of hemodialysis and kidney transplantation in the early 19605 through the enactment of the Social Security Amendments of 1972. Part Two will deal with events from 1972 to the present, focusing on the Medicare ESRD program. Part Three will consider the U.S. experience in light of several cross-national country case studies. The ms. will be prepared in the following way: (l) a working outline will be established; (2) the author's published and unpublished writings will be integrated into a working draft ms.; (3) systematic revision of the draft ms. will be done by (a) circulating the draft ms. to key individuals for review, conducting telephone interviews with them, and seeking access to their personal files, and by (b) reviewing documents and files in the possession of the author, the key individuals, and relevant executive agencies and congressional committees. cross national analyses will include a set of case studies (probably the United Kingdom, France, Italy, Canada, as feasible).

描述：该项目的目的是准备长本书 关于联邦政府政策 - 医学研究，能力的手稿 开发，治疗融资 - 末期末期肾脏疾病（ESRD） 从1960年到现在。 这包含透析的疗法 （血液透析和腹膜透析）和肾脏移植。 这 多发性硬化症。将尝试提供独特的连贯，全长的历史 对昂贵的，挽救生命的医疗创新的政策响应。 这 观众将是决策者，临床医生和专心的公众。 这个MS。将尝试绘制有关临床的课程， 联邦政府涉及的流行病学和道德问题 对这种慢性疾病的政策。 MS的第一部分。会处理 早期血液透析和肾脏移植的出现 19605年，通过制定1972年《社会保障修正案》。 第二部分将处理从1972年到现在的事件，重点关注 Medicare ESRD计划。 第三部分将考虑美国的经验 几个跨国国家案例研究的光。 MS。 将 通过以下方式准备：（l）将建立一个工作大纲； （2）作者的出版和未发表的著作将被整合 进入MS的工作草案。 （3）MS草案的系统修订。将 由（a）散发MS草案完成。给关键个人进行审查， 与他们进行电话采访，并寻求访问他们的 个人文件，以及（b）查看所有文件和文件 作者，关键个人和相关执行机构以及 国会委员会。 交叉国家分析将包括一组 案例研究（可能是英国，法国，意大利，加拿大，作为 可行的）。