Planning the End Stage Renal Disease Program with the Aid of a Markov-Chain

  • F. Th. De Charro
Conference paper
Part of the Health Systems Research book series (HEALTH)


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.


Markov Chain Life Table Cost Figure Main State Health Council 
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  1. 1.
    S.C. Farrow, D.H.J. Fisher, D.B. Johnson: Statistical Approach to Planning an Integrated Haemodialysis/Transplantation Programme. British Medical Journal, 19 June 1971.Google Scholar
  2. 2.
    A. Ludbrook: A cost-effectiveness analysis of the treatment of chronic renal failure. Applied Economics 1981; 13: 337–350.CrossRefGoogle Scholar

Copyright information

© Springer Verlag, Berlin Heidelberg 1984

Authors and Affiliations

  • F. Th. De Charro
    • 1
  1. 1.Erasmus University RotterdamRotterdamThe Netherlands

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