美国的美国. 器官移植系统 - 它的历史,现在和未来
Geraldine Zingraf1,2,3, Diane M Derkowski4,5,6,7, Yaritza I Pizarro8,9,10,11
1Transplant Administrator, Edward Hines Jr. VA Hospital, Hines, IL.
概括
美国器官移植系统正在进行现代化改造,以提高公平性和效率. 拟议的变化包括竞争性招标,以改善器官分配和增加捐赠器官的供应.
科学领域:
- 公共卫生 公共卫生
- 卫生服务管理卫生服务管理
- 移植医学 移植医学
背景情况:
- 美国器官移植系统由卫生资源和服务管理局管理,由器官采购和移植网络 (OPTN) 下的器官共享联合网络 (UNOS) 运营,旨在有效,高效和公平地分配器官.
- 自1987年以来,UNOS一直独占OPTN合同,创造了一个断的基础设施.
研究的目的:
- 概述为现代化美国器官移植系统提出的变革.
- 引入一项联邦倡议,通过竞争性招标来现代化器官采购.
主要方法:
- 审查OPTN提出的变更建议.
- 描述一个联邦倡议去断器官采购基础设施的描述.
主要成果:
- OPTN提出了重大改革,以改善器官移植的获取,公平和透明度.
- 一项联邦倡议旨在为OPTN管理引入竞争性招标.
结论:
- 预计包括竞争性招标在内的现代化努力将解除器官采购基础设施的断.
- 这些变化旨在促进更好的替代方案,并改善美国器官移植系统的整体组织.
相关概念视频
01:28Kidney Transplant I: Introduction
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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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01:24Tissue Transplantation
408
Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...
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01:26Kidney Transplant II: Surgical Procedure
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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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01:16Kidney Transplant III: Nursing Management
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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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01:22Bone Marrow Sampling and Transplants
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Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy...
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