Quality vs. Access-Health Care Economics-Literature Review

Citation

Year of Study

Hypothesis

Study Population

Data Source

Policy Change or Border Effect

Stake -holders

Incentives

Key Findings

Limitations

Facts to be used in Case Analysis

Comments

Balhara, K. S., et al. "Disparities in provision of transplant education by profit status of the dialysis center." American Journal of Transplantation 12.11 (2012): 3104-3110.

2010

There is no difference in patient education about Kidney Transplant based on dialysis center

For-profit or non-profit status

Nephrologists ( kidney doctors)

Survey

For-profit and non-profit dialysis centers

Patients

Physicians

Dialysis centers

Insurers

Kidney transplant may give better quality of life to patients.

Medicare payment allows for 6 counseling sessions of patients with end-stage renal disease.

For-profit centers were less likely to consider their patients eligible for KT, less likely to spend >20 min on KT education and educate the patients about KT more than once, or involve the patient's family.

Response rate

Physician perception of how their time is spent.

There are fewer patients from for-profit centers on the kidney transplant list. Patients and their families in these centers receive less education about the option of kidney transplant. High volume practices were less likely to educate patients about kidney dialysis.

Patient mix: Insurance, age, and race were also examined.