High-Technology Medicine in China: The Case of Chronic Renal Failure and Hemodialysis
Henderson, Gail E.
Murphy, Elizabeth A.
Stockwell, Samuel T.
New England Journal of Medicine. 1988 Apr 14; 318(15): 1000-1004.
The authors report their retrospective study of renal dialysis for chronic renal failure at a Guangzhou teaching hospital and discuss its use and that of transplantation at other centers in China. There are no unified state or regional policies governing the acquisition and diffusion of renal dialysis or of other new technologies. Availability depends upon a hospital's incentives to invest in the equipment and to employ needed personnel. Criteria for patient selection are developed at the discretion of the medical staff and depend mainly on ability to pay which in turn depends on the resources of the patient's workplace which pays medical expenses. Other factors in gaining admission are meeting medical and geographic criteria, knowledge of the procedure, and connections with unit personnel. (KIE abstract)
Chronically Ill; Decision Making; Economics; Health; Health Care; Health Insurance; Hospitals; Hemodialysis; Incentives; Institutional Policies; Insurance; Kidney Diseases; Kidneys; Knowledge; Medicine; Physicians; Renal Dialysis; Resource Allocation; Selection for Treatment; Socioeconomic Factors; Statistics; Survey; Technology; Transplantation;
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