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2 The Case for a Commissioning
Framework
2.1 Acceptance
and Prevalence Rates in Renal Replacement Therapy (RRT)
2.2 Historical
Basis of Inequity and Congestion
2.3 Current
Problems in the Renal Service
In this Section, acceptance and prevalence
rates of RRT are discussed in detail since they are often the source of
confusion. The reasons for the different growth rates for different treatment
modalities is also explained and the best available figures are collated
to guide Providers, Regions and Health Authorities in planning services
into the next five years. The reasons for the inequitable provision of
RRT are put forward together with a summary of the areas most under pressure
in the service.
The deficiencies identified in this Section constitute the starting points
for recommendations and standards set out in subsequent Sections of this
document.
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