Planning the End Stage Renal Disease Program with the Aid of a Markov-Chain
In the Netherlands, health planning authorities required in 1982 the End Stage Renal Disease program to be implemented in the most cost-effective way. The Health Council, an advisory institution to the Department of Welfare, Health and Culture, was asked to draft a report on many aspects of dialysis and transplantation. The main question to be answered was how to integrate numerous aspects of the ESRD-program in a cost-effectiveness analysis. The Health Council instituted Commission 183 to prepare a report. This commission is composed mainly of physicians. The author participates as a cost-effectiveness analyst.
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