The selection and de-selection of patients for dialysis and transplantation
Any modern society should be judged among other aspects, by the way in which its sick and handicapped are cared for and assisted. That is an issue of public policy that no-one can ultimately escape (Maxwell, 1981). However, no country irrespective of its wealth can supply its population with all the types of treatment that medical science has the potential to offer. It has been a matter for central and local policy in the UK that the treatment of renal failure should expand slowly as far as hospital-based renal units and dialysis facilities are concerned (Renal Association, 1976), in the hope that transplantation, a cheaper form of treatment, would in time care increasingly for those who need renal replacement therapy (Pincherle, 1977) thereby avoiding the massive increase in dialysis facilities which has occurred in the majority of European countries.
KeywordsRenal Replacement Therapy Continuous Ambulatory Peritoneal Dialysis Dialysis Facility Australia Antigen Advanced Malignant Disease
Unable to display preview. Download preview PDF.
- Jacobs, C., Broyer, M., Brunner, F.P., Brynger, H., Donckerwolcke, R. A., Kramer, P., Selwood, N. H., Wing, A. J. and Blake, B. H. (1981). Combined report on regular dialysis and transplantation in Europe, XI, 1980 Proc. Eur. Dial. Transplant Assoc., 18, 38Google Scholar
- Kennedy, I. (1981). The Last Taboo in the Unmasking of Medicine, Chapter 7. ( London: Allen & Unwin )Google Scholar
- Leader (1981). Audit in renal failure: the wrong target. Br. Med. J., 283, 261Google Scholar
- Leader (1981). Ethics and the nephrologist. Lancet, 1, 594Google Scholar
- Leader (1981). The statistics of life and hope. Times, July 24, 15Google Scholar
- Leenan, H. J. J. (1979). The selection of patients in the event of a scarcity of medical facilities. Int. J. Med. Law., 2, 161Google Scholar
- Maxwell, R. J. (1981). Health and Wealth: An International Study of Health Care Spending( Aldershot: Lexington Books )Google Scholar
- McIntyre, K. M. (1981). Recent case law and medical life and death decision making. Ala. J. Med. Sci., 18, 381Google Scholar
- Pincherle, G. (1977). Services for patients with chronic renal failure in England and Wales. Health Trends, 9, 41Google Scholar