Levenson J L, Olbrisch M E
Department of Psychiatry, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0268.
Psychosomatics. 1993 Jul-Aug;34(4):314-23. doi: 10.1016/S0033-3182(93)71865-4.
Psychosocial selection criteria are widely used by transplant programs but have not been systematically described or compared within or across transplantation type. The authors surveyed all active cardiac, liver, and renal transplant programs in the United States about the existence of psychosocial selection criteria, how and by whom patients were evaluated, weight given to specific criteria, and how often patients were rejected for surgery on psychosocial grounds. The results document important differences in the process, criteria, and outcomes of pretransplant psychosocial evaluation within and across these programs. Cardiac programs are the most stringent, both in criteria and in rate of refusals.
社会心理选择标准在移植项目中被广泛使用，但尚未在移植类型内部或之间进行系统描述或比较。作者对美国所有活跃的心脏、肝脏和肾脏移植项目进行了调查，内容包括社会心理选择标准的存在情况、患者如何以及由谁进行评估、对特定标准的重视程度，以及患者因社会心理原因被拒绝手术的频率。结果表明，这些项目内部和之间在移植前社会心理评估的过程、标准和结果方面存在重要差异。心脏移植项目在标准和拒绝率方面最为严格。
