Exley M H, Serbin M F, Goldstein R M
Southwest Organ Bank, Inc, Dallas, TX 75219.
Tex Med. 1992 Sep;88(9):58-61.
While current literature documents a critical disparity between the increasing demand for organs for transplantation and the relatively static supply, reasons for the shortage of donors are not well understood. Public opinion surveys describe a population willing to donate, but consent rates reported by organ procurement organizations suggest problems in the process of approaching families. This study of Texas physicians regarding their knowledge of laws related to brain death and to routine inquiry for organ donation and their attitudes toward the critical step of seeking consent from families indicates that physicians need more information about questions asked by families, would benefit from more structured hospital policies on routine inquiry, feel that physicians rather than nurses should approach families, and believe that the public is not well informed about donation.
尽管当前文献记载了移植器官需求不断增加与供应相对稳定之间的严重差距，但捐赠者短缺的原因尚未得到充分理解。民意调查显示民众愿意捐赠，但器官获取组织报告的同意率表明在与家属沟通的过程中存在问题。这项针对得克萨斯州医生关于他们对脑死亡相关法律、器官捐赠常规询问的了解以及他们对向家属寻求同意这一关键步骤的态度的研究表明，医生需要更多关于家属提出问题的信息，将从更具结构性的医院常规询问政策中受益，认为应由医生而非护士与家属沟通，并认为公众对捐赠的了解不足。
