Medical Governance :Values, Expertise, and Interests in Organ Transplantation - American Governance and Public Policy series

Medical Governance
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Medical Governance :Values, Expertise, and Interests in Organ Transplantation - American Governance and Public Policy series

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Published: 17 February, 2010
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Description

Governments throughout the industrialized world make decisions that fundamentally affect the quality and accessibility of medical care. In the United States, despite the absence of universal health insurance, these decisions have great influence on the practice of medicine. In "Medical Governance", David Weimer explores an alternative regulatory approach to medical care based on the delegation of decisions about the allocation of scarce medical resources to private nonprofit organizations. He investigates the specific development of rules for the U.S. organ transplant system and details the conversion of a voluntary network of transplant centers to one private rulemaker: the Organ Procurement and Transplantation Network (OPTN). As the case unfolds, Weimer demonstrates that the OPTN is more efficient, nimble, and better at making evidence-based decisions than a public agency; and, the OPTN also protects accountability and the public interest more than private for-profit organizations. Weimer addresses similar governance arrangements as they could apply to other areas of medicine, including medical records and the control of Medicare expenditures, making this timely and useful case study a valuable resource for debates over restructuring the U.S. health care system.
Prizes

Winner of Section on Public Administration Research: Best Book Award (United States).,Winner of Best Book Award (United States).,Winner of Outstanding Book in Nonprofit and Voluntary Action Research Award (United States).

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More Details

Type Book
ISBN13 9781589016316
ISBN10 1589016319
Number Of Pages 272
Item Weight 318 g
Publisher / Reseller Georgetown University Press
Format paperback
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Media Reviews

In this blend of theory, practical understanding, and methodological sophistication, Weimer has produced and important set of ideas that can be applied to at least some of today's health-care policy challenges and perhaps beyond. Perspectives on Politics Does an excellent job of researching and analyzing the delegation of medical decision making to private nonprofit organizations. Choice

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Author's Bio

David L. Weimer is professor of public affairs and political science at the University of Wisconsin-Madison and a former president of the Association for Public Policy Analysis and Management. He is the coauthor of Organizational Report Cards; Policy Analysis: Concepts and Practice; and Cost-Benefit Analysis: Concepts and Practice.

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