转诊及其他方面:重组移植过程,以支持在美国获得更广泛的治疗机会
Catherine R Butler1, Peter P Reese2, Xingxing S Cheng3
1Division of Nephrology, Department of Medicine, Kidney Research Institute, University of Washington, Seattle, Washington; Veteran Affairs Health Services Research and Development Center of Innovation for Veteran-Centered and Value-Driven Care, Seattle, Washington.
概括
增加脏移植转诊单独使系统承受压力. 重新设计的移植前过程对于所有衰竭患者平等获得移植至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 移植手术 移植手术
- 医疗保健服务研究 医疗服务研究
背景情况:
- 改善移植公平性的努力重点是增加患者推进行评估.
- 捐赠的稀缺性意味着转诊次数的增加可能不会导致所有患者的移植.
- 转诊和评估过程对患者,家庭,移植计划和支付人来说是资源密集的.
研究的目的:
- 分析移植转诊人数增加对移植前过程的影响.
- 倡导对移植前系统进行更广泛的重新评估和重新设计.
- 为所有患有衰竭的患者实现对移植的平等准入.
主要方法:
- 本研究对当前的移植转诊和评估实践进行了批判性分析.
- 它综合了有关资源利用和患者治疗结果的现有数据.
- 该研究呼吁对移植前系统进行多层次的重新评估.
主要成果:
- 在没有系统适应的情况下,转诊人数的增加可能会加剧现有的差距,使资源受到压力.
- 患者和家人面临着自付费用和可能不必要的治疗.
- 移植计划可能会遇到容量问题和财务挑战;付款人面临更高的预付费用.
结论:
- 移植转诊的增加必须伴随着移植前的过程调整.
- 迫切需要对移植前系统进行全面的重新设计.
- 公平获得移植需要系统性改变,而不仅仅是增加转诊.
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