Mercado-Martínez Francisco J, Díaz-Medina Blanca A, Hernández-Ibarra Eduardo
Universidad de Guadalajara, Mexico.
Prog Transplant. 2013 Sep;23(3):258-64. doi: 10.7182/pit2013410.
Donation coordinators play an important role in the success or failure of organ donation and transplant programs. Nevertheless, these professionals' perspectives and practices have hardly been explored, particularly in low- and middle-income countries.
To examine donation coordinators' discourse on the organ donation process and the barriers they perceive.
A critical qualitative study was carried out in Guadalajara, Mexico.
Twelve donation coordinators from public and private hospitals participated. DATA GATHERING AND ANALYSIS: Data were gathered by using semistructured interviews and critical discourse analysis.
Participants indicated that partial results have been achieved in deceased organ donation. Concomitantly, multiple obstacles have adversely affected the process and outcomes: at the structural level, the fragmentation of the health system and the scarcity of financial and material resources; at the relational level, nonegalitarian relationships between coordinators and hospital personnel; at the ideational level, the transplant domain and its specialists overshadow the donation domain and its coordinators. Negative images are associated with donation coordinators.
Organ donation faces structural, relational, and ideational barriers; hence, complex interventions should be undertaken. Donation coordinators also should be recognized by the health system.
捐赠协调员在器官捐赠与移植项目的成败中发挥着重要作用。然而，这些专业人员的观点和做法几乎未得到探讨，尤其是在低收入和中等收入国家。
考察捐赠协调员关于器官捐赠过程的论述以及他们所察觉到的障碍。
在墨西哥瓜达拉哈拉开展了一项批判性定性研究。
来自公立和私立医院的12名捐赠协调员参与其中。数据收集与分析：通过半结构化访谈和批判性话语分析收集数据。
参与者表示，在 deceased 器官捐赠方面已取得部分成果。与此同时，多重障碍对这一过程及结果产生了不利影响：在结构层面，卫生系统碎片化以及财政和物质资源匮乏；在关系层面，协调员与医院工作人员之间的不平等关系；在观念层面，移植领域及其专家使捐赠领域及其协调员黯然失色。负面形象与捐赠协调员相关联。
器官捐赠面临结构、关系和观念方面的障碍；因此，应采取复杂的干预措施。捐赠协调员也应得到卫生系统的认可。 （注：“deceased”常见释义为“已故的”，这里结合语境可能指“已故者器官捐赠” ）
