Department of Surgery, Division of Transplantation, Emory University School of Medicine, Atlanta, Georgia, USA.
Department of Epidemiology, Rollins School of Public Health, Atlanta, Georgia, USA.
Am J Nephrol. 2018;47(2):115-119. doi: 10.1159/000486648. Epub 2018 Feb 22.
It is unknown whether dialysis facility staff are aware of the new kidney allocation system implemented in December 2014, which changed how deceased donor kidneys are allocated and waiting time is calculated. U.S. dialysis facilities with low annual waitlisting (<15.2%) were surveyed as part of a large randomized study. Among 653 facilities, 57.9% of staff were aware of the policy change, with medical directors (84.4%) being more aware than social workers (73.3%), facility administrators (53.1%), nurse managers (46.4%), and other staff (43.8%). Targeted education among dialysis facilities with low waitlisting may help extend the reach of the new policy.
目前尚不清楚透析中心的工作人员是否了解 2014 年 12 月实施的新的肾脏分配系统，该系统改变了已故供体肾脏的分配方式和等待时间的计算方式。美国透析中心作为一项大型随机研究的一部分，对每年等候名单人数较低（<15.2%）的透析中心进行了调查。在 653 家透析中心中，有 57.9%的工作人员了解这项政策的变化，其中医疗主任（84.4%）比社工（73.3%）、机构管理人员（53.1%）、护士长（46.4%）和其他工作人员（43.8%）更了解该政策。在等候名单人数较低的透析中心进行有针对性的教育，可能有助于扩大新政策的覆盖面。
