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一项评估新斯科舍省已故器官捐赠立法改革影响的研究计划:LEADDR计划。

A Program of Research to Evaluate the Impact of Deceased Organ Donation Legislative Reform in Nova Scotia: The LEADDR Program.

作者信息

Weiss Matthew J, Krmpotic Kristina, Cyr Tim, Dhanani Sonny, Dieudé Mélanie, Dirk Jade S, Hartell David, Isenor Cynthia, James Lee, Lucas Amanda, Patriquin Chelsea, Simpson Christy, Sullivan Victoria L, Tennankore Karthik K, Thurlow Jennifer, Urquhart Robin, Vorster Hans, Beed Stephen D

机构信息

Transplant Québec, Montréal, QC, Canada.

CHU de Québec-Université Laval Research Center, Population Health and Optimal Health Practices Research Unit, Trauma-Emergency-Critical Care Medicine, Université Laval, Québec, QC, Canada.

出版信息

Transplant Direct. 2020 Dec 15;7(1):e641. doi: 10.1097/TXD.0000000000001093. eCollection 2021 Jan.

Abstract

BACKGROUND

This is the first time deemed consent, where the entire population of a jurisdiction is considered to have consented for donation unless they have registered otherwise, will be implemented in North America. While relatively common in other regions of the world-notably Western Europe-it is uncertain how this practice will influence deceased donation practices and attitudes in Canada.

METHODS

We describe a Health Canada funded program of research that will evaluate the implementation process and full impact of the deceased organ donation legislation and the health system transformation in Nova Scotia that includes opt-out consent.

RESULTS

There is a need to evaluate the impact of these changes to inform not only Nova Scotia and Atlantic Canada, but also other provincial, national, and international stakeholders.

CONCLUSIONS

We establish a rigorous academic framework that we will use to evaluate this significant health system transformation.

摘要

背景

在北美,将首次实施推定同意,即除非另行登记,否则司法管辖区内的全体人口都被视为同意捐赠。虽然这种做法在世界其他地区(尤其是西欧)相对普遍,但尚不确定它将如何影响加拿大的遗体捐赠行为和态度。

方法

我们描述了一项由加拿大卫生部资助的研究项目,该项目将评估新斯科舍省遗体器官捐赠立法的实施过程及其全面影响,以及包括推定同意在内的卫生系统转型。

结果

有必要评估这些变化的影响,以便不仅为新斯科舍省和加拿大大西洋地区提供信息,也为其他省级、国家级和国际利益相关者提供信息。

结论

我们建立了一个严格的学术框架,将用于评估这一重大的卫生系统转型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e04d/7738157/019c8f560f2b/txd-7-e641-g001.jpg

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