移植服务的全球组织和结构
Andrea K Viecelli1, Ryan Gately1, Zunaid Barday2
1Department of Kidney and Transplant Services, Division of Medicine, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
概括
脏移植 (KT) 是对功能衰竭的首选,但在全球范围内,特别是低收入国家,可用性和获取性有限. 迫切需要制定战略,确保全球均等地获得这种救命治疗.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 移植医学 移植医学
- 全球健康 全球健康
背景情况:
- 移植 (KT) 与衰竭的透析相比,提供了更好的结果.
- 评估 KT 服务的全球格局对于改善患者护理至关重要.
研究的目的:
- 评估移植的全球流行病学.
- 确定全球KT服务的可访问性和可用性.
主要方法:
- 对利益相关者 (临床医生,政策制定者,患者倡导者) 进行了一项国际调查.
- 数据通过国际脏病学会网络从167个国家收集.
- 调查的重点是知识技术的可用性,获取,捐赠者类型和成本.
主要成果:
- 在70%的受访国家中,知识技术服务可用,而在低收入国家 (21%) 中,这一比例显著下降.
- 在80%的国家中,成年人比儿童更容易获得知识技术.
- 在 KT 的流行,发病率,预防性 KT 和成本方面存在显著差异,低收入国家面临重大限制.
结论:
- 全球移植的可用性,获取和负担能力仍然非常有限,特别是在低收入国家.
- 迫切需要制定战略,以确保全世界所有患有功能衰竭的患者平等获得KT.
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