Health care technology: lessons learned from the end-stage renal disease experience
ResearchPublished 1976
Examines the experience with hemodialysis for end-stage renal disease. The paper reviews (1) development history of the artificial kidney, (2) the critical turning points as the threshold to utilization was crossed, (3) the boundary between using the artificial kidney for experimental use vs. therapeutic use, and (4) current use due to extending Medicare to patients with chronic kidney failure. Lessons learned: (1) Technology transfer can be facilitated by policymakers affirming the therapeutic benefit of a medical technology before the debate in the medical community is resolved, and by providing reimbursement for services through federally-financed health insurance. (2) Cost control should focus on reimbursement decisions, on forcing clinical consensus on the least-cost form of therapy, and on R&D investment to reduce costs and improve performance. (3) Assessment of the secondary effects of new technology should occur prior to reimbursement decisions. (4) Reimbursement for half-way technol- ogies should require that a concurrent research investment be made on underlying causes and disease mechanisms.
Topics
Document Details
- Copyright: RAND Corporation
- Availability: Available
- Year: 1976
- Print Format: Paperback
- Paperback Pages: 36
- Paperback Price: $20.00
- Document Number: P-5820
Citation
RAND Style Manual
Chicago Manual of Style
Rettig, Richard A., Health care technology: lessons learned from the end-stage renal disease experience, RAND Corporation, P-5820, 1976. As of September 12, 2024: https://www.rand.org/pubs/papers/P5820.html
Rettig, Richard A., Health care technology: lessons learned from the end-stage renal disease experience. Santa Monica, CA: RAND Corporation, 1976. https://www.rand.org/pubs/papers/P5820.html. Also available in print form.
This publication is part of the RAND paper series. The paper series was a product of RAND from 1948 to 2003 that captured speeches, memorials, and derivative research, usually prepared on authors' own time and meant to be the scholarly or scientific contribution of individual authors to their professional fields. Papers were less formal than reports and did not require rigorous peer review.
This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit www.rand.org/pubs/permissions.
RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.