Organ Procurement and Transplantation : Assessing Current Policies and the Potential Impact of the DHHS Final Rule

Each day, nearly 60 Americans receive a transplanted kidney, liver, or other organ?a literal "second chance at life"?but 11 others die waiting for an organ transplant. The number of donors, although rising, is not growing fast enough to meet the increasing demand. Intended to improve the current system of organ procurement and allocation, the "Final Rule," a 1998 regulation issued by the U.S. Department of Health and Human Services, sparked further controversy with its attempts to eliminate the apparent geographic disparities in the time an individual must wait for an organ. This book assesses the potential impact of the Final Rule on organ transplantation. It also presents new, original analyses of data, and assesses medical practices, social and economic observations, and other information on: access to transplantation services for low-income populations and racial and ethnic minority groups; organ donation rates; waiting times for transplantation; patient survival rates and organ failure rates leading to retransplantation; and cost of organ transplantation services. Each day, nearly 60 Americans receive a transplanted kidney, liver, or other organ -- a literal "second chance at life" -- but 11 others die waiting for an organ transplant. The number of donors, although rising, is not growing fast enough to meet the increasing demand. Intended to improve the current system of organ procurement and allocation, the "Final Rule", a 1998 regulation issued by the U.S. Department of Health and Human Services, sparked controversy with its attempts to eliminate the apparent geographic disparities in the time an individual must wait for an organ.This book assesses the potential impact of the Final Rule on organ transplantation. It also presents new, original analyses of data, and assesses medical practices, social and economic observations, and other information on access to transplantation services for Iow-income populations and racial and ethnic minority groups; organ donation rates; waiting times for transplantation; patient survival rates and organ failure rates leading to retransplantation; and cost of organ transplantation services. Each day, nearly 60 Americans receive a transplanted kidney, liver, or other organ -- a literal "second chance at life"--But 11 others die waiting for an organ transplant. The number of donors, although rising, is not growing fast enough to meet the increasing demand. Intended to improve the current system of organ procurement and allocation, the "Final Rule", a 1998 regulation issued by the U.S. Department of Health and Human Services, sparked controversy with its attempts to eliminate the apparent geographic disparities in the time an individual must wait for an organ. This book assesses the potential impact of the Final Rule on organ transplantation. It also presents new, original analyses of data, and assesses medical practices, social and economic observations, and other information on access to transplantation services for Iow-income populations and racial and ethnic minority groups; organ donation rates; waiting times for transplantation; patient survival rates and organ failure rates leading to retransplantation; and cost of organ transplantation services "Intended to improve the current system of organ procurement and transplantation, the "Final Rule," a 1998 regulation issued by the U.S. Department of Health and Human Services, sparked further controversy with its attempts to eliminate the apparent geographic disparities in the time an individual must wait for an organ." "Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the HHS Final Rule assesses the potential impact of the Final Rule on organ transplantation. The committee reviews the current system, its policies and practices, the developments leading up to the Final Rule, and the potential impact of the rule's major provisions." "With compassion for patients and dispassion for the evidence, Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the HHS Final Rule will be of interest to anyone involved in organ transplantation: policy makers, regulators, hospital administrators, insurers, medical personnel, and patient advocates."--Jacket Executive summary Introduction Current policies and practices Access to transplantation Organ donation Analysis of waiting times Organ failure and patient survival Costs Oversight and review