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  1. Public policy governing organ and tissue procurement in the United States : results from the national organ and tissue procurement study.

    Article - En anglais

    Objective 

    To determine why Required Request policies, which mandate that hospitals request donation from donor-eligible families, have not resulted in increased organ procurement..

    Setting 

    Stratified sample of 23 acute-care general hospitals in two metropolitan areas.

    Measurements 

    The ability of health care providers to identify donor-eligible patients, approach families about donation, and obtain families'consent to donation..

    Results 

    83% of health care professionals correctly identified donor-eligible patients.

    The families of donor-eligible patients were approached about donation in 73.0% of the cases.

    Families were more likely to be approached about organ (86.6%) donation than either tissue (69.5%) or cornea (67.3%) donation (P<0.001).

    The families of organ-eligible patients were less likely to be approached if the patient was female, was on a general medical or surgical floor, or was being cared for by intemists.

    Only 46.5% of families of eligible donors agreed to donate organs, 34.5% agreed to donate tissues, and 23.5% agreed to donate corneas..

    Conclusions 

    Although health care professionals do request that families donate, families consent to donation less frequently than was previously assumed.

    Empirically based education campaigns are needed so that health care professionals can improve their communication skills and so that discussion about this important issue can be stimulated among family members.

    Mots-clés Pascal : Collecte, Organe, Tissu, Politique sanitaire, Résultat, Synthèse bibliographique, Homme, Etats Unis, Amérique du Nord, Amérique, Transplantation

    Mots-clés Pascal anglais : Collect, Organ, Tissue, Health policy, Result, Bibliographic survey, Human, United States, North America, America, Transplantation

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0418549

    Code Inist : 002B30A03C. Création : 01/03/1996.