Health services research
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Health services research · Oct 1999
Comparative StudyUnequal access to cadaveric kidney transplantation in California based on insurance status.
To assess the impact of insurance status on access to kidney transplantation among California dialysis patients. ⋯ California dialysis patients excluded from Medicare coverage, who are disproportionately minority, female, and poor, are much less likely to enter the U.S. transplant system. We hypothesize that patient concerns with potential subsequent loss of insurance coverage as well as cultural and educational barriers are possible explanatory factors. Once in the system, however, insurance status does not influence receipt of a cadaveric renal transplant.