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新加坡增加可移植肾脏供应的政策选择。

Policy options for increasing the supply of transplantable kidneys in Singapore.

作者信息

Chong Jia Loon

机构信息

Signature Program in Health Services and Systems Research, Duke-NUS Medical School, Singapore.

出版信息

Singapore Med J. 2016 Oct;57(10):530-532. doi: 10.11622/smedj.2016163.

Abstract

Kidney transplantation is the preferred treatment for eligible end-stage renal disease patients. However, the supply of donated kidneys has been consistently insufficient to meet the transplantation requirements of the population. In this paper, I discuss the feasibility of several policy options that engage potential donors or key individuals in a Singapore context, including financial and non-financial incentives for deceased/living organ donors and their families, improving actualisation rates of both donation after brain death, donation after cardiac death through quality improvement programmes and remuneration schemes, and a media platform for directed organ donation. I conclude by highlighting the most feasible policies to be considered.

摘要

肾移植是符合条件的终末期肾病患者的首选治疗方法。然而,捐赠肾脏的供应一直不足以满足人群的移植需求。在本文中,我讨论了在新加坡背景下采用的几种政策选择的可行性,包括对已故/活体器官捐赠者及其家属的经济和非经济激励措施,通过质量改进计划和薪酬方案提高脑死亡后捐赠、心脏死亡后捐赠的实现率,以及建立一个定向器官捐赠的媒体平台。最后,我强调了需要考虑的最可行政策。

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本文引用的文献

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Transplantation: One Economist's Perspective.
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Current situation of donation after circulatory death in European countries.欧洲国家死后循环捐献的现状。
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