Burton B T
Kidney Int Suppl. 1978 Jun(8):S61-4.
This presentation traces the history of the Federal government's support of research and development related to the therapeutic modalities dialysis and renal transplantation. A description is presented of the Federal government's role in introduction of these new treatment methods into medical practice and of the gradual assumption by the government of responsibility for funding of the cost of dialysis and transplantation in the United States. Current issues and problems related to the federally subsidized End-State Renal Disease Program are discussed. The concept of "technology assessment" is introduced followed by discussion of the vital role it must play in any future federal development and support of new medical treatment technologies which must be paid for with public moneys because of their high cost.
本报告追溯了联邦政府对与透析和肾移植治疗方式相关的研发支持的历史。介绍了联邦政府在将这些新治疗方法引入医疗实践中的作用，以及政府逐渐承担起为美国透析和移植费用提供资金的责任。讨论了与联邦政府补贴的终末期肾病项目相关的当前问题。引入了“技术评估”的概念，随后讨论了它在未来联邦政府对新的医疗技术的任何开发和支持中必须发挥的关键作用，由于这些新技术成本高昂，必须用公共资金支付。
