Coleman-Musser L
LifeBanc, Cleveland, Ohio 44122, USA.
J Transpl Coord. 1997 Jun;7(2):55-8. doi: 10.7182/prtr.1.7.2.901916l1433525g7.
The demand for suitable organs in the United States greatly outweighs the supply of transplantable organs. It has been estimated that approximately half of all potential donors do not donate. Preexisting barriers seem to impede donation, and the physician is a vital link in this process. To better understand the physician's perspective and to identify barriers that may produce difficulties in the process, a survey of physicians in northern Ohio was conducted. Respondents identified the following barriers: consensus in tests performed in the diagnosis of death is lacking, ambivalence exists with respect to informing families of the patient's death and offering families the donation option, and physicians do not seem to recognize the importance of decoupling the discussion of brain death from the request for organs. Although physicians surveyed were in favor of donation and transplantation, an effort should be made to increase awareness in personal attitudes that may affect the donation process.
美国对合适器官的需求远远超过可移植器官的供应。据估计，所有潜在捐赠者中约有一半不会捐赠。先前存在的障碍似乎阻碍了捐赠，而医生是这一过程中的关键环节。为了更好地理解医生的观点并识别可能在这一过程中产生困难的障碍，对俄亥俄州北部的医生进行了一项调查。受访者指出了以下障碍：在死亡诊断所进行的检查中缺乏共识，在告知患者家属其死亡情况以及向家属提供捐赠选项方面存在矛盾心理，而且医生似乎没有认识到将脑死亡的讨论与器官请求脱钩的重要性。尽管接受调查的医生支持捐赠和移植，但应该努力提高对可能影响捐赠过程的个人态度的认识。
