Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Clin Transplant. 2013 Sep-Oct;27(5):718-23. doi: 10.1111/ctr.12207. Epub 2013 Aug 9.
Fair allocation of donor organs is essential to maintain public trust in a public healthcare system. A study of the public's views and opinions of this could clarify non-medical prioritization criteria. We report our survey of public opinion of criteria for donor kidney allocation.
This was a cross-sectional study using random digit dialing to phone interview 706 Tehran residents. Patient scenarios were presented to determine interviewee opinions on nine recipient criteria: probability for survival, previous transplant history, time on the waiting list, age, an individual's role in developing their kidney failure, gender, marital status, social status, and financial situation. Each scenario introduced two patients and interviewees then chose the better candidate for transplantation.
More than 50% of the participants chose length of waiting time, a patient's role in causing their disease, age, and survival time after transplantation as important allograft allocation criteria.
This study disclosed other criteria in addition to the likelihood for successful transplantation-the patient's role in the development of their disease and patient age-which should be prioritization considerations.
公平分配捐赠器官对于维护公众对公共医疗体系的信任至关重要。研究公众对此的看法和意见可以澄清非医疗优先排序标准。我们报告了对供肾分配标准的公众意见调查。
这是一项横断面研究，使用随机数字拨号对 706 名德黑兰居民进行电话采访。提出患者情况，以确定受访者对九个受者标准的意见：生存概率、先前的移植史、等待名单上的时间、年龄、个体在导致其肾衰竭中的作用、性别、婚姻状况、社会地位和财务状况。每个场景介绍了两名患者，然后受访者选择更适合移植的候选人。
超过 50%的参与者选择了等待时间的长短、患者在导致疾病中的作用、年龄和移植后生存时间作为重要的同种异体移植分配标准。
这项研究揭示了除成功移植的可能性之外的其他标准-患者在疾病发展中的作用和患者年龄-这些标准应优先考虑。
