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解决英国少数族裔群体的器官捐赠问题——一种整体系统方法。

Tackling organ donation among minority ethnic communities in the UK-a whole systems approach.

机构信息

Institute for Health Research, University of Bedfordshire, Putteridge Bury, Luton LU2 8LE, England.

NHS Blood and Transplant, 500 North Bristol Park, Bristol, BS34 7QH, UK.

出版信息

Br Med Bull. 2022 Jul 9;142(1):4-14. doi: 10.1093/bmb/ldac008.

DOI:10.1093/bmb/ldac008
PMID:35368069
Abstract

INTRODUCTION

There are inequalities experienced by minority ethnic groups in the UK in organ donation and transplant services, with significant variation in relation to demand for, access to and waiting times for these services.

SOURCES OF DATA

A narrative review of research obtained via several databases, including PubMed and Medline, was conducted.

AREAS OF AGREEMENT

A vision of equity and inclusion, which meets the need of the heterogeneous UK population, can only be realized by adopting a culturally competent approach to systems-wide working in organ donation in four core areas-transplant services; workforce and staff training; diversity and inclusion research; and public engagement.

AREAS OF CONTROVERSY

Most of the data on the background of organ donors and recipients use general categories such as Asian or Black. We need to progress to a position of more granular data by more specific ethnicity so that we can better understand the trends and target action accordingly.

GROWING POINTS

By positively embracing the heterogeneity of the UK population, demand for transplantation can be reduced through a sustained commitment to public health interventions and culturally competent approaches in the management of long-term conditions.

AREAS TIMELY FOR DEVELOPING RESEARCH

Improved access to transplantation and reduced waiting times can be achieved to increase the number of organ donors from minority ethnic groups if there are concerted and adequately resourced culturally competent interventions with concomitant evaluation programmes.

摘要

简介

在英国,少数民族群体在器官捐赠和移植服务方面存在不平等现象,他们在对这些服务的需求、获得途径和等待时间方面存在显著差异。

资料来源

通过包括 PubMed 和 Medline 在内的多个数据库,对研究进行了叙述性综述。

达成一致的领域

只有通过在器官捐赠的四个核心领域——移植服务、劳动力和员工培训、多样性和包容性研究以及公众参与——采用系统的、文化上有能力的方法,才能实现公平和平等的愿景,以满足英国多样化人口的需求。

争议领域

大多数关于器官捐赠者和接受者背景的数据使用的是一般类别,如亚洲人或黑人。我们需要通过更具体的族裔,进一步发展到更具粒度数据的位置,以便我们能够更好地了解趋势,并相应地采取行动。

发展要点

通过积极拥抱英国人口的多样性,可以通过持续致力于公共卫生干预措施和长期疾病管理中的文化能力方法,减少对移植的需求。

及时开展研究的领域

如果有协调一致且资源充足的文化能力干预措施,并同时进行评估计划,少数民族群体的器官捐献数量可以增加,从而改善他们获得移植的机会并缩短等待时间。

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