Dolan Paul, Shaw Rebecca
Sheffield Health Economics Group, University of Sheffield, S1 4DA Sheffield, UK.
Health Policy. 2004 Apr;68(1):31-6. doi: 10.1016/j.healthpol.2003.07.006.
To explore whether and how people wish to give differential priority based on certain characteristics of the potential recipient of a donor kidney.
A random sample of people resident in York was invited to attend two focus group meetings each, a fortnight apart.
The City of York.
Twenty-three randomly chosen people meeting in four groups of five or six.
Those factors that people think should be taken into account when allocating donor kidneys, in addition to the expected benefits from transplantation.
People are willing and able to distinguish between potential recipients of a kidney transplantation according to a range of characteristics beyond the expected benefits from treatment. There is a clear consensus across the four groups that one of the most important considerations is what will happen to the patient without treatment, and so priority is given to those with a poor prognosis. There is also a strong view that priority should be given to younger patients and to those with dependants. The time spent waiting for a transplant is also important, but less so.
A sample of the general public, after discussion and debate, wish to take account of a number of patient characteristics when allocating donor kidneys. There is some degree of consensus about what these factors should be and this suggests that it might be possible to develop a set of guidelines for the allocation of donor kidneys.
探讨人们是否以及如何希望根据潜在肾脏捐献接受者的某些特征给予不同的优先权。
邀请居住在约克的人员随机样本参加两个焦点小组会议，每组会议间隔两周。
约克市
随机选择的23人，分四组，每组五六人。
除了移植预期益处之外，人们认为在分配肾脏捐献时应考虑的因素。
人们愿意且能够根据治疗预期益处之外的一系列特征区分肾脏移植的潜在接受者。四组人员达成明确共识，其中一个最重要的考虑因素是患者未经治疗会怎样，因此优先考虑预后较差的患者。也有一种强烈观点认为应优先考虑年轻患者和有家属的患者。等待移植的时间也很重要，但重要性稍低。
经过讨论和辩论，普通公众样本在分配肾脏捐献时希望考虑一些患者特征。对于这些因素应该是什么存在一定程度的共识，这表明有可能制定一套肾脏捐献分配指南。
