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I. Home Care Symposium

Chronic renal failure

Lessons from the past and for the future

Christopher R. Blagg, M.D.
Cleveland Clinic Journal of Medicine September 1985, 52 (3) 285-290;
Christopher R. Blagg
Northwest Kidney Center, Seattle, Wash.
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ABSTRACT

The author briefly describes the Medicare End-Stage Renal Disease Program, which has covered dialysis and kidney transplants for 12 years at a cost of $2 billion for 70,000 patients as of 1983. This program is used to illustrate the problems of patient selection for expensive treatment; the usefulness of self care in the home setting; the effects of funding on (a) the choice of treatment and the number of patients treated, (b) reimbursement and modalities of treatment, and (c) health care providers as well as the health care equipment supply industry; and the problems of collecting data on a national basis. Many of these lessons are important in view of the trend toward increasing use of home care in other fields of medicine.

Index term
  • Hemodialysis
  • home
  • Received November 1984.
  • Accepted February 1985.
  • Copyright © 1985 The Cleveland Clinic Foundation. All Rights Reserved.
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Cleveland Clinic Journal of Medicine: 52 (3)
Cleveland Clinic Journal of Medicine
Vol. 52, Issue 3
21 Sep 1985
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Chronic renal failure
Christopher R. Blagg
Cleveland Clinic Journal of Medicine Sep 1985, 52 (3) 285-290;

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Chronic renal failure
Christopher R. Blagg
Cleveland Clinic Journal of Medicine Sep 1985, 52 (3) 285-290;
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Keywords

  • Hemodialysis
  • home

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