Comparison Between the Two Hemodialysis Centers

To determine the comparative deathrate rates at the two types of centers, the researchers performed an extremely thorough refreshen of the available literature, which consisted of victimization 11 bibliographic databases, including EMBASE, MEDLINE, HealthSTAR, CINAHL, BIOETHICSLINE, Wilson Business Abstracts, EconLit, Cochrane Library, sermon Abstracts on Disc, ABI, and NTIS (Devereaux et al, 2451). A review of their own files was also conducted, and adopt contact was made with experts from June 2001 to January, 2002. Searches were also made on PubMed using the "related articles" feature, SciSearch and all studies that met their criteria for inclusion in their analyses.

The study criteria include published and unpublished observational studies and randomized trials which looked at the divergence in mortality rates in clubby for-pro rifle and snobbish not-for-profit dialysis centers (Devereaux et al, 2451). The process determine 7045 citations on the subject, which were further narrowed to 779 full-text publications identified by pairs of screeners for full review. The screeners then evaluated the articles, in which the results had been masked, to determine if they fit the study criteria for examining wellness outcomes, appropriatness of quality care, and costs in private for-profit and not-for profit cen

Nissenson, A. R., and Owen, W. F. Jr. " self-command of dialysis facilities and patients' survival." New England Journal of Medicine. 342, 1054-1055. 2000.

Devereaux, P. J., Choi, P. T-L., Laccetti, C., et al. "A systematic review and meta-analysis of studies compare mortality rates of private for-profit and private not-for-profit hospitals." Canadian medical exam Association Journal. 166, 1399-1406. 2002.

Held, P. J., Lavin, N. W., Bovbjerg, R. R., Pauly, M. V., and Diamond, L. H. "Mortality and duration of hemodialysis treatment.

" Journal of the American Medical Association. 265, 871-875. 1991.

This study has important implications for the future directions in health care. A previous study by Devereaux et al (1399-1406) has shown that patients in private for-profit hospitals have a higher mortality run a risk than those in private not-for-profit hospitals, and other studies have shown that private for-profit dialysis centers engross fewer, and less well-trained personnel to provide dialysis services (Farley, effectuate of argument on Dialysis Facility Service Levels and Patient Selection; Held, Garcia, Pauly and Cahn, 441-450; Hirth, Chernew and Orzol, 282-294) and implement shorter dialysis treatment multiplication, even though it is known that shorter treatment times for dialysis patients are associated with a higher mortality rate (Held, Garcia, Pauly and Cahn, 441-450; Held, Lavin, Bovbjerg, Pauly and Diamond, 871-875).

Farley, O. O. Effects of Competition on Dialysis Facility Service Levels and Patient Selection. (Dissertation). Santa Monica, CA: Rand. 1993.

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