National Kidney Foundation, Inc., New York, NY.
Adv Chronic Kidney Dis. 2022 Jan;29(1):59-64. doi: 10.1053/j.ackd.2022.02.007.
Kidney transplant policy has not historically been considered a domain of nephrology policy; despite that, the US transplant system is marked by missed opportunities that prevent patients from accessing a kidney transplant. Policymakers in the federal government are focused on growing the inadequate supply of kidneys, especially on increasing procurement of deceased donor organs, and reducing kidney discards. There are many more challenges in transplantation that require the attention of experts in nephrology policy, whether in the Administration, Congress, advocacy organizations, or clinical practice. Thoughtful policy solutions are needed to improve transplant equity, balance competing patient desires, increase living donation, develop and implement measures of transplant center performance, and create an infrastructure for the long-term management of transplant recipients.
肾移植政策在历史上一直不属于肾病学政策的范畴；尽管如此，美国的移植系统仍错失了许多机会，导致患者无法接受肾移植。联邦政府的政策制定者专注于增加不足的肾脏供应，特别是增加已故供体器官的获取量，并减少肾脏废弃。在移植方面还有许多其他挑战，需要肾病学政策专家的关注，无论是在行政部门、国会、倡导组织还是临床实践中。需要有深思熟虑的政策解决方案来改善移植公平性、平衡竞争的患者需求、增加活体捐赠、制定和实施移植中心绩效措施，并为移植受者的长期管理创建基础设施。
