Leonhardt D E, Botkin J R, Shaddy R E
Department of Pediatrics, University of Utah School of Medicine, Salt Lake City.
Arch Pediatr Adolesc Med. 1994 Mar;148(3):316-20. doi: 10.1001/archpedi.1994.02170030086019.
The disparity between the supply and demand for pediatric donor hearts remains the major constraint in pediatric heart transplantation. This disparity draws attention to the importance of an equitable distribution policy for pediatric hearts. An examination of the policy on pediatric heart distribution shows that although a governmental task force recommended that these organs be allocated according to a national list, the current policy, developed by the United Network of Organ Sharing, emphasizes the local distribution of pediatric hearts. The decision to allocate organs locally was based on both theoretical and practical concerns about national distribution. In analyzing these concerns, we conclude not only that a national list may be a more equitable means of distribution but also that the arguments against a national list no longer justify a policy favoring local distribution. We suggest, therefore, that the time has come to reconsider implementation of a national list for pediatric heart distribution.
小儿供体心脏供需之间的差距仍然是小儿心脏移植的主要制约因素。这种差距凸显了小儿心脏公平分配政策的重要性。对小儿心脏分配政策的审视表明，尽管一个政府特别工作组建议根据全国名单分配这些器官，但目前由器官共享联合网络制定的政策强调小儿心脏的本地分配。做出本地分配器官的决定是基于对全国分配的理论和实际考量。在分析这些考量时，我们得出的结论是，全国名单不仅可能是一种更公平的分配方式，而且反对全国名单的论据已不再能为支持本地分配的政策提供正当理由。因此，我们建议，重新考虑实施小儿心脏分配全国名单的时机已经成熟。
