Alolod Gerard P, Traino Heather M, Siminoff Laura A
Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA, USA
Department of Social and Behavioral Sciences, College of Public Health, Temple University, Philadelphia, PA, USA.
Prog Transplant. 2016 Sep;26(3):241-8. doi: 10.1177/1526924816655960. Epub 2016 Jun 19.
Few systematic assessment tools are available to organ procurement organizations (OPOs) for evaluating donation climates of hospitals in their donation service areas (DSAs). The Rapid Assessment of hospital Procurement barriers in Donation (RAPiD) was developed for OPO hospital development staff to assess the organ donation climate of hospitals.
To implement a national test of the RAPiD to examine its efficacy and usability by OPO hospital development staff.
Two-arm randomized design, comparing implementation of RAPiD protocol between qualitatively trained researchers (n = 7) and OPO hospital development staff (n = 24); all evaluators received the same training assessments of high-yield hospitals.
A total of 77 hospitals in DSAs of 8 OPOs.
A total of 2552 health-care providers (HCPs) in high organ donor potential units.
Twenty-four donation-related attitudes, knowledge, and behaviors.
More HCPs interviewed in the autonomous condition were positive toward the concept of organ donation. However, HCPs in the assisted condition were more candid about and critical of the OPO. As for knowledge, fewer HCPs in the autonomous condition reported familiarity with the donation process, need for donors, and generally accepted timely referral criteria. With respect to behaviors, more respondents in the autonomous condition reported frequent or occasional contact with the OPO and routine or occasional referral criteria use. Due to issues of bias, inadequate research experience, conflicts of interest, and ongoing OPO hospital development initiatives, the RAPiD's usability by OPO-based hospital development staff is questionable and not recommended in its current form. A next generation of the RAPiD is described for future consideration.
器官获取组织（OPO）几乎没有系统的评估工具来评估其捐赠服务区（DSA）内医院的捐赠氛围。捐赠中医院采购障碍快速评估（RAPiD）是为OPO医院发展工作人员开发的，用于评估医院的器官捐赠氛围。
对RAPiD进行全国性测试，以检验其对OPO医院发展工作人员的有效性和可用性。
双臂随机设计，比较定性培训的研究人员（n = 7）和OPO医院发展工作人员（n = 24）之间RAPiD方案的实施情况；所有评估人员都接受了对高产出医院的相同培训评估。
8个OPO的DSA中的77家医院。
高器官捐赠潜力单位的2552名医疗保健提供者（HCP）。
24种与捐赠相关的态度、知识和行为。
在自主条件下接受访谈的HCP对器官捐赠概念更积极。然而，在协助条件下的HCP对OPO更坦率且持批评态度。在知识方面，自主条件下报告熟悉捐赠过程、对捐赠者的需求以及普遍接受及时转诊标准的HCP较少。在行为方面，自主条件下更多的受访者报告经常或偶尔与OPO联系以及使用常规或偶尔的转诊标准。由于存在偏差、研究经验不足、利益冲突以及正在进行的OPO医院发展倡议等问题，基于OPO的医院发展工作人员对RAPiD的可用性存在疑问，不建议采用其当前形式。文中描述了下一代RAPiD以供未来考虑。
