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Organ procurement and transplantation : assessing current policies and the potential impact of the DHHS final rule /

Bibliographic Details
Corporate Author: Institute of Medicine (U.S.). Committee on Organ Procurement and Transplantation Policy
Format: Book
Language:English
Published: Washington, D.C. : National Academy Press, [1999]
Subjects:
Tissue and Organ Procurement > legislation & jurisprudence > United States.
Health Services Accessibility > United States.
Organ Transplantation > legislation & jurisprudence > United States.
Tissue Donors > legislation & jurisprudence > United States.
Table of Contents:
  • Introduction
  • Evolution of the federal system of organ transplantation
  • The latest call for change: the "final rule"
  • The ensuing controversy
  • Charge to the committee
  • Committee methods and focus of the report
  • Organization of the report
  • Current policies and practices
  • Organ procurement organizations
  • The organ allocation process
  • Criticisms of the current policies
  • Conclusions
  • Access to tranplantation
  • Factors affecting access
  • Potential closure of small transplant centers
  • Potential implications of Medicaid payment policies
  • Conclusions
  • Organ donation
  • Current status
  • Public and professional attitudes
  • Required request and routine notification
  • Assessing OPO performance
  • Conclusions
  • Analysis of waiting times
  • Method of analysis
  • Results
  • The effect of sharing
  • Summary
  • Conclusions and recommendations
  • Organ failure and patient survival
  • Organ preservation and donor influences
  • Review of literature
  • Assessing the impact
  • Posttransplant patient survival
  • Conclusions
  • Costs
  • Defining the components of cost
  • Increased expenditure due to transplantation of sicker patients
  • Increased expenses for organ acquisition
  • Conclusion
  • Oversight and review
  • Role of the federal government
  • Data collection, analysis, and dissemination.