Jones Catrin Pedder, Papadopoulos Chris, Randhawa Gurch, Asghar Zeeshan
Institute for Health Research, University of Bedfordshire.
University of Bedfordshire.
Br J Gen Pract. 2020 Jun;70(suppl 1). doi: 10.3399/bjgp20X711137.
A shortage of organ donors exists in the UK and targeting family consent is key for increasing donation consent rates. Registration on the NHS Organ Donor Register (NHS ODR) facilitates this, as it guides families on their loved ones donation preference. In general practice, an opportunity to register is provided, however only to new patients. To improve access to registration opportunities, an intervention was designed where general practice staff asked their patients if they wished to register as an organ donor.
To assess an organ donation registration intervention for feasibility and acceptability in a UK general practice setting.
One general practice, in Luton, UK, conducted the intervention for 3 months (April to July 2018). Training was held in March 2018, and leaflets and posters were displayed for the 3-month period. An embedded experimental mixed-methods design was used, with data collected via SystmONE questionnaires, surveys and focus groups.
The intervention was found to be feasible and acceptable to conduct with some patients by some staff members. During the 3 months, patients were asked in 12.4% of face-to-face consultations (=812). Nurses and healthcare assistants were more able to conduct the intervention than doctors. Lack of time, telephone consultations, and it not being appropriate were the most common reasons for not asking. Finally, 244 patients joined the NHS ODR; 30.4% of those asked.
This study demonstrates that general practice could be a feasible location in which an intervention designed to increase NHS ODR registration could be conducted.
英国存在器官捐献者短缺的问题，争取家属同意是提高捐献同意率的关键。在英国国民医疗服务体系器官捐献登记处（NHS ODR）登记有助于实现这一点，因为它能让家属了解其亲人的捐献意愿。在全科医疗中，会提供登记机会，但仅针对新患者。为了增加登记机会，设计了一项干预措施，即全科医疗工作人员询问患者是否愿意登记成为器官捐献者。
评估一项器官捐献登记干预措施在英国全科医疗环境中的可行性和可接受性。
英国卢顿的一家全科医疗机构进行了为期3个月（2018年4月至7月）的干预。2018年3月进行了培训，并在这3个月期间展示了传单和海报。采用嵌入式实验混合方法设计，通过SystmONE问卷、调查和焦点小组收集数据。
发现该干预措施对一些工作人员和部分患者而言是可行且可接受的。在这3个月期间，12.4%的面对面咨询（=812次）中询问了患者。护士和医疗保健助理比医生更有能力实施该干预措施。最常见的不询问原因是时间不足、电话咨询以及不合适。最后，有244名患者加入了NHS ODR；占被询问者的30.4%。
本研究表明，全科医疗可能是开展旨在增加NHS ODR登记的干预措施的可行场所。
