Transplant Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.
Transplantation. 2012 Nov 27;94(10):1049-51. doi: 10.1097/TP.0b013e31826cc9a1.
Currently, many transplantation centers do not follow former living kidney donors on a long-term basis. Several potential barriers have been identified to provide this follow-up of former living kidney donors, including concerns that donor insurance will not reimburse transplantation centers or primary care physicians for this care. Here, we report the rates at which different insurance companies reimbursed our transplantation center for follow-up visits of living donors.
We collected data on all yearly follow-up visits of living donors billed from January 1, 2007, to December 31, 2010, representing 82 different donors. Concurrent visits of their recipients were available for 47 recipients and were used as a control group.
We find that most bills for follow-up visits of living kidney donors were paid by insurance companies, at a rate similar to the reimbursement for recipient follow-up care.
Our findings suggest that, for former donors with insurance, inadequate reimbursement should not be a barrier in providing follow-up care.
目前，许多移植中心并未对既往活体供者进行长期随访。为这些供者提供随访存在一些潜在的障碍，包括担心供者保险不会为移植中心或初级保健医生的这种照护报销。在此，我们报告了不同保险公司为我们的移植中心报销活体供者随访就诊费用的比率。
我们收集了 2007 年 1 月 1 日至 2010 年 12 月 31 日期间所有的活体供者年度随访就诊的记录，共涉及 82 位不同的供者。我们还获得了 47 位受者的同期就诊记录作为对照组。
我们发现，大多数活体供者的随访就诊费用由保险公司支付，支付比率与受者随访照护的报销比率相似。
我们的研究结果表明，对于有保险的既往供者，在提供随访照护方面，报销不足不应成为障碍。
