自下而上地通过社区参与改善肾移植公平性：东南肾移植联盟
Community Engagement to Improve Equity in Kidney Transplantation from the Ground Up: the Southeastern Kidney Transplant Coalition.
作者信息
Patzer Rachel E, Retzloff Samantha, Buford Jade, Gander Jennifer, Browne Teri, Jones Heather, Ellis Matt, Canavan Kelley, Berlin Alexander, Mulloy Laura, Gibney Eric, Sauls Leighann, Muench Dori, Reeves-Daniel Amber, Zayas Carlos, DuBay Derek, Mutell Rich, Pastan Stephen O
机构信息
Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.
Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
出版信息
Curr Transplant Rep. 2021 Dec;8(4):324-332. doi: 10.1007/s40472-021-00346-x. Epub 2021 Oct 31.
PURPOSE OF REVIEW
The purpose of this review is to describe the Southeastern Kidney Transplant Coalition's mission, vision, goals, and Early Transplant Access registry as an example of a community/academic collaboration dedicated to improving access to transplantation and reducing inequities in transplant access.
RECENT FINDINGS
The barriers and facilitators to referral and evaluation for kidney transplantation are not necessarily the same as for waitlisting and transplantation. Recent findings suggest that inequities in transplant access are multilevel and multifactorial and require continued community engagement to improve access to kidney transplantation across patients, health systems, and populations.
SUMMARY
Community-engaged approaches are critical to ensuring that inequities in transplant access - which may vary across regions -- are not only described but are addressed in practice in a sustainable manner.
综述目的
本综述旨在描述东南肾脏移植联盟的使命、愿景、目标以及早期移植准入登记系统，以此作为社区/学术合作的范例，该合作致力于改善移植机会并减少移植准入方面的不平等现象。
最新发现
肾脏移植转诊和评估的障碍与促进因素不一定与列入等待名单及移植时相同。最新研究结果表明，移植准入方面的不平等是多层次且多因素的，需要社区持续参与，以改善患者、医疗系统及不同人群获得肾脏移植的机会。
总结
社区参与方法对于确保移植准入方面的不平等现象（可能因地区而异）不仅能得到描述，而且能在实践中以可持续的方式得到解决至关重要。
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