Randhawa Gurch
Institute for Health Research, University of Bedfordshire, Luton, UK.
J Ren Care. 2012 Feb;38 Suppl 1:109-14. doi: 10.1111/j.1755-6686.2012.00277.x.
It is widely acknowledged within the United Kingdom that there are significant inequalities in renal health and transplant services--in relation to demand for, access to and waiting times for these services--between minority ethnic groups in particular. This phenomenon is not unique to the United Kingdom and affects many other countries that have a strong tradition of immigration. The solutions to reducing these inequalities are multi-faceted and require both short-term and long-term policy and resource-driven initiatives. In the short term, there is an urgent need to increase the number of organ donors from minority ethnic groups which will positively impact upon improved access to transplantation and contribute to reduced waiting times. The increase in donor registration can only be achieved if there are evidence-based, concerted and adequately resourced efforts to engage with minority ethnic communities at grass-roots level. In the long term, public health interventions are required that proactively seek to prevent and manage long-term conditions among the United Kingdom's multi-ethnic and multi-faith population, thereby reducing the demand for transplantation.
在英国，人们普遍认识到，尤其是在少数族裔群体之间，肾脏健康和移植服务存在显著的不平等现象，涉及这些服务的需求、可及性和等待时间。这种现象并非英国独有，许多有着强大移民传统的其他国家也受到影响。减少这些不平等现象的解决方案是多方面的，需要短期和长期的政策及资源驱动型举措。短期内，迫切需要增加少数族裔群体的器官捐赠者数量，这将对改善移植可及性产生积极影响，并有助于缩短等待时间。只有通过基于证据、协调一致且资源充足的努力，在基层与少数族裔社区互动，才能实现捐赠登记人数的增加。从长远来看，需要采取公共卫生干预措施，积极预防和管理英国多民族、多信仰人口中的长期病症，从而减少移植需求。
