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Policy innovations to advance equity in solid organ transplantation
Allison Jaure1, Vivekanand Jha2, Lisa M McElroy3
1Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia; Centre for Kidney Research, The Children's Hospital at Westmead, Sydney, NSW, Australia.
Policy solutions are needed to address disparities in organ transplantation access. This paper proposes strategies to improve equity for all patients with end-stage organ disease globally.
Area of Science:
- Medical Science
- Public Health Policy
- Transplantation Medicine
Background:
- Solid organ transplantation has advanced with better preservation and immunosuppression.
- Significant disparities persist in transplantation access globally, particularly in low- and middle-income countries.
- Marginalized groups, including racial/ethnic minorities and low socioeconomic status individuals, face heightened inequities.
Purpose of the Study:
- To examine policy's role in advancing equity in organ transplantation.
- To propose policy solutions for equitable access and improved outcomes in transplantation.
- To address disparities within health systems and across countries.
Main Methods:
- Policy analysis focused on equity in transplantation.
- Review of existing literature on transplantation access and disparities.
- Development of policy recommendations for global health equity.
Main Results:
- Persistent disparities in organ transplantation access exist globally.
- Limited infrastructure and resources hinder transplantation in low- and middle-income countries.
- Policy interventions are crucial for achieving equitable transplantation outcomes.
Conclusions:
- Policy is a critical lever for advancing equity in organ transplantation.
- Targeted policies can improve access for underserved populations.
- Achieving equitable transplantation requires a global, multi-faceted policy approach.
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