Kröncke Sylvia, Künsebeck Hans-Werner, Greif-Higer Gertrud
Institut und Poliklinik für Medizinische Psychologie, Universitätsklinikum Hamburg-Eppendorf.
Klinik für Psychosomatik und Psychotherapie, Medizinische Hochschule Hannover.
Psychother Psychosom Med Psychol. 2018 May;68(5):171-178. doi: 10.1055/s-0044-101830. Epub 2018 May 3.
Transplant medicine in Germany is regulated by mandatory guidelines of the German Medical Association, the transplant law passed in 1997 serving as the legal basis. In 2012 a comprehensive modification of the guideline procedure was initiated. Since then, all guidelines are subject to an elaborate revision process. The present contribution initially depicts relevant background information and explains the formal aspects of the guideline procedure. Subsequently, the psychologically/psychosomatically relevant contents of the guidelines for organ transplantation are presented. With regard to this matter, first of all the state of the guidelines prior to the current revisions is described. Afterwards, already adopted revisions as well as published drafts are explicated, followed by the authors' evaluation of the revisions and recommendations for further revisions to be pursued. In addition, recommendations on psychosocial aspects regarding the evaluation and follow-up in living organ donation are presented, which have been submitted in similar form to the German Medical Association for a currently drawn up guideline.
德国的移植医学由德国医学协会的强制性指南进行规范,1997年通过的移植法作为法律依据。2012年启动了对指南程序的全面修订。自那时起,所有指南都要经过精心的修订过程。本论文首先描述相关背景信息并解释指南程序的形式方面。随后,介绍了器官移植指南中与心理/身心相关的内容。关于此事,首先描述当前修订之前的指南状况。之后,阐述已经通过的修订以及已发布的草案,接着是作者对修订的评估和对后续进一步修订的建议。此外,还提出了关于活体器官捐赠评估和随访心理社会方面的建议,这些建议已以类似形式提交给德国医学协会以用于当前正在制定的指南。