Lindsey P A, McGlynn E A
RAND-UCLA Center for Health Policy Study.
Health Serv Res. 1988 Feb;22(6):881-922.
Transplantation of hearts and livers for both adults and children is increasingly viewed as therapeutic and lifesaving, but access to these procedures is impeded by their high cost as well as by a limited supply of organs. In the absence of comprehensive federal coverage, pressure is being brought to bear on states to provide broader access to these procedures. This synthesis provides a framework for the consideration of coverage decisions at the state level. While there are no "right" answers about whether a state should support such coverage, the analytic tools of cost analysis, demand estimation, and assessment of capacity described in this synthesis can better inform the decision-making process.
成人和儿童的心脏与肝脏移植越来越被视为具有治疗作用且能挽救生命，但这些手术的高昂费用以及器官供应有限阻碍了人们获得这些治疗。在缺乏全面联邦医保覆盖的情况下，各方正向各州施压，要求其扩大这些手术的可及性。本综述为州一级医保覆盖决策的考量提供了一个框架。虽然对于一个州是否应支持此类医保覆盖没有“正确”答案，但本综述中描述的成本分析、需求估计和能力评估等分析工具能够为决策过程提供更充分的信息。
