TY - JOUR
T1 - ESRD care within the US department of veterans affairs
T2 - A forward-looking program with an illuminating past
AU - Watnick, Suzanne
AU - Crowley, Susan T.
PY - 2014/3
Y1 - 2014/3
N2 - The first governmental agency to provide maintenance hemodialysis to patients with end-stage renal disease (ESRD) was the Veterans Administration (VA; now the US Department of Veterans Affairs). Many historical VA policies and programs set the stage for the later care of both veteran and civilian patients with ESRD. More recent VA initiatives that target restructuring of care models based on quality management, system-wide payment policies to promote cost-effective dialysis, and innovation grants aim to improve contemporary care. The VA currently supports an expanded and diversified nationwide treatment program for patients with ESRD using an integrated patient-centered care paradigm. This narrative review of ESRD care by the VA explores not only the medical advances, but also the historical, socioeconomic, ethical, and political forces related to the care of veterans with ESRD.
AB - The first governmental agency to provide maintenance hemodialysis to patients with end-stage renal disease (ESRD) was the Veterans Administration (VA; now the US Department of Veterans Affairs). Many historical VA policies and programs set the stage for the later care of both veteran and civilian patients with ESRD. More recent VA initiatives that target restructuring of care models based on quality management, system-wide payment policies to promote cost-effective dialysis, and innovation grants aim to improve contemporary care. The VA currently supports an expanded and diversified nationwide treatment program for patients with ESRD using an integrated patient-centered care paradigm. This narrative review of ESRD care by the VA explores not only the medical advances, but also the historical, socioeconomic, ethical, and political forces related to the care of veterans with ESRD.
KW - End-stage renal disease
KW - US Department of Veterans Affairs
KW - public policy
UR - http://www.scopus.com/inward/record.url?scp=84894480831&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84894480831&partnerID=8YFLogxK
U2 - 10.1053/j.ajkd.2013.10.046
DO - 10.1053/j.ajkd.2013.10.046
M3 - Article
C2 - 24331978
AN - SCOPUS:84894480831
SN - 0272-6386
VL - 63
SP - 521
EP - 529
JO - American Journal of Kidney Diseases
JF - American Journal of Kidney Diseases
IS - 3
ER -