Center for International Blood and Marrow Transplant Research, Minneapolis, Minnesota, USA.
Biol Blood Marrow Transplant. 2010 Aug;16(8):1070-5. doi: 10.1016/j.bbmt.2009.12.529. Epub 2009 Dec 28.
Hematopoietic cell transplantation (HCT) is a highly specialized and resource-intense medical procedure that can be associated with disparities in access to transplantation. Barriers to access to HCT are multifactorial, complex, and interrelated. Our current knowledge of specific barriers that prevent access to HCT is very limited. As the utilization of HCT increases, it is imperative that underserved populations receive the benefit of this life-saving procedure. We review the prevailing literature on access to HCT and describe research priorities for eliminating disparities in transplantation. Better understanding of these complex barriers will minimize inequities, inform health policy, guide development of interventions targeted to eliminate disparities, and continue the expansion of HCT in the future.
造血细胞移植（HCT）是一项高度专业化且资源密集型的医疗程序，可能存在移植机会方面的差异。获得 HCT 的障碍是多因素的、复杂的且相互关联的。我们目前对阻止获得 HCT 的具体障碍的了解非常有限。随着 HCT 的应用增加，必须确保服务不足的人群能够从这种救命手术中受益。我们回顾了关于获得 HCT 的现有文献，并描述了消除移植差异的研究重点。更好地了解这些复杂的障碍将最大限度地减少不平等，为卫生政策提供信息，指导旨在消除差异的干预措施的制定，并在未来继续扩大 HCT 的应用。
