Vascular Access Procedures for End-Stage Renal Disease Medicare Beneficiaries

by Joel Kallich, Martin Markovich, Mark Litwin

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This report describes the findings of a project of the RAND/UCLA/Harvard Center for Policy Research in Health Care Financing, which is supported by the Health Care Financing Administration. This report examines several factors believed to affect the rate of shunt creations and complications for Medicare beneficiaries who suffer from end stage renal disease (ESRD). Because Medicare's ESRD program provides health care coverage to individuals with a chronic disease, regardless of age, this work should be of interest to all those concerned with health care service delivery to a chronically ill population.

This report is part of the RAND Corporation draft series. The unrestricted draft was a product of the RAND Corporation from 1993 to 2003 that represented preliminary or prepublication versions of other more formal RAND products for distribution to appropriate external audiences. The draft could be considered similar to an academic discussion paper. Although unrestricted drafts had been approved for circulation, they were not usually formally edited or peer reviewed.

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