Ward F, Watson A, Holian J
St Vincent's University Hospital, Elm Park, Dublin.
Ir Med J. 2012 Oct;105(9):309-11.
Raising public awareness of organ donation is high on the national agenda, but the magnitude of the challenge is not well clarified. We investigated the attitudes and experience of general practitioners (GPs) regarding organ donation. A survey of 200 GPs working in Ireland revealed that a minority provided donor cards (38%) or displayed information regarding organ donation (28.2%). Although 81.3% felt comfortable discussing organ donation, just 4.8% broached the subject with their patients or asked them to discuss the issue with their families. 88.7% of GPs could not remember any instance of a patient asking for counselling regarding organ donation in the past 3 months. We found that 31.7%, 24.1% and 34.4% felt informed to advise patients on organ procurement, living donation or immunosuppression medications, respectively. We identified a lack of dialogue and unfamiliarity in primary healthcare regarding organ donation, which may be targeted to increase organ donation rates.
提高公众对器官捐赠的认识在国家议程上占据重要位置,但挑战的规模尚未得到充分阐明。我们调查了全科医生(GPs)对器官捐赠的态度和经验。对在爱尔兰工作的200名全科医生进行的一项调查显示,少数人提供捐赠卡(38%)或展示有关器官捐赠的信息(28.2%)。尽管81.3%的人对讨论器官捐赠感到自在,但只有4.8%的人与患者提及这个话题或要求他们与家人讨论这个问题。88.7%的全科医生不记得在过去3个月里有任何患者要求提供器官捐赠咨询的情况。我们发现,分别有31.7%、24.1%和34.4%的人认为自己有足够的信息就器官获取、活体捐赠或免疫抑制药物向患者提供建议。我们发现,在初级医疗保健中,关于器官捐赠缺乏对话且人们对此并不熟悉,这可能是提高器官捐赠率的目标所在。