Author Description

Kidney Failure And The Federal Government -- Copyright -- Acknowledgments -- Contents -- Part I Overview -- Summary -- The Congressional Charge To The Institute Of Medicine -- Basic Assumptions -- Esrd Patients And Their Treatment -- Access -- Ethics -- The Provider Community -- Reimbursement And Quality -- Reimbursement Effects On Quality -- Outpatient Dialysis Reimbursement Issues -- Covered Services -- Rate-setting And Payment Policy -- Quality Assessment And Assurance -- Data Systems -- Research -- Notes -- References -- 1 Introduction -- The Congressional Charge -- Basic Assumptions -- Context Of This Study -- Study Methods -- The Esrd Patient Population -- National Expenditures For Esrd -- Organization Of The Report -- Notes -- References -- Part Ii Patients And Providers -- 2 Perspectives Of Esrd Patients -- Experiences With Renal Failure -- Patient Relationships With Physicians And Staff -- Patient Education -- Patient-related Services -- Effect Of Erythropoietin -- Economic Effects Of Kidney Failure -- Conclusions -- Note -- Reference -- 3 Ethical Issues -- Patient Acceptance Criteria -- Withdrawal From Treatment -- Guidelines -- Advance Directives -- Treating The Problem Patient -- Conclusions And Recommendations. -- Notes -- References -- 4 The Patient Population -- Incidence And Prevalence -- Composition Of The Esrd Population -- Mortality Issues -- Unadjusted Mortality -- Adjusted Mortality -- Subgroup Mortality -- State And Regional Mortality Data -- Cross-national Mortality Data -- Projections To The Year 20006 -- Notes -- References -- 5 The Esrd Patient Population: Special Groups -- Pediatric Patients -- Elderly Esrd Patients -- Diabetic Patients -- Hypertensive Patients -- Hypertension In The United States -- Relationship Between Hypertension And Hypertensive Esrd -- Epidemiology Of Esrd Attributed To Hypertension. Intervention -- Minority Patients -- Conclusion -- Notes -- References -- 6 Structure Of The Provider Community -- Overview -- Outpatie