D'Alessandro A M, Peltier J W, Phelps J E
UWHC Organ Procurement Organization, Madison, WI, USA.
Am J Transplant. 2008 Apr;8(4):897-904. doi: 10.1111/j.1600-6143.2008.02155.x.
This case report focuses on the University of Wisconsin Hospital and Clinics Organ Procurement Organization (UWHC-OPO) efforts to produce a verifiable and demonstrable increase in organ donations by developing a replicable, transferable and feasible model intervention for increasing health care professionals' support for donation after cardiac death (DCD). A grant from the US Department of Health and Human Services funded a 3-year study allowing the UWHC-OPO to (i) identify barriers to and opportunities for increasing DCD support among those involved in the donation request process, (ii) implement this better understanding of these support factors in the creation of intervention materials designed to increase knowledge of and support for DCD and finally (iii) to track and document the progress made in increasing knowledge, support, number of hospitals with DCD protocols, actual requests made and number of DCD donors. The results of the model intervention were extremely positive, showing lasting increases in DCD knowledge and support, adoption of DCD protocols and referrals in the two tracking survey stages following the intervention. Perhaps most notably, DCD donor numbers within the UWHC-OPO region increased 93% in the year following the intervention and 179% to date.
本病例报告聚焦于威斯康星大学医院及诊所器官获取组织（UWHC - OPO）的工作，该组织致力于通过开发一种可复制、可转移且可行的模型干预措施，以切实增加器官捐赠数量，从而提高医护人员对心脏死亡后捐赠（DCD）的支持度。美国卫生与公众服务部提供的一笔赠款资助了一项为期三年的研究，使UWHC - OPO能够：（i）确定在捐赠请求过程中涉及的各方增加对DCD支持的障碍和机会；（ii）在创建旨在增加对DCD的了解和支持的干预材料时，运用对这些支持因素的更深入理解；最后（iii）跟踪并记录在增加知识、支持度、拥有DCD协议的医院数量、实际提出的请求以及DCD捐赠者数量方面所取得的进展。模型干预的结果非常积极，在干预后的两个跟踪调查阶段，DCD知识和支持度持续提高，DCD协议得到采用，转诊数量增加。或许最值得注意的是，在干预后的一年里，UWHC - OPO地区的DCD捐赠者数量增加了93%，截至目前增加了179%。
