摘要
器官捐献和移植工作事关人民健康民生,事关国家政治形象。在国家政策引领、业务指导的前提下,行政主管部门制定相关政策对推进器官捐献工作的规范实施与健康发展起着决定性作用。同时,器官捐献和移植的临床工作始于潜在供者的识别,潜在供者识别率高低决定了当地器官捐献的总规模。供者的识别和转介需要ICU、神经内科、神经外科和急诊科等相关科室医务人员的积极参与,进一步加大器官获取组织(OPO)与各医疗机构间的联系力度,探索构建器官捐献工作区域网络,对当地器官捐献率的提升起着积极有效的推动作用。此外,器官捐献协调员专业知识水平和沟通技能对医务人员的支持和家属捐献态度会产生重要影响。本文结合山西省人体器官获取与分配服务中心工作经验,探讨如何在政府和上级主管部门政策支持下,通过加强OPO体制建设、联合医疗机构构建完善的器官捐献体系、完善器官捐献实施流程、加强器官捐献协调员能力,形成多方配合、多措并举、上下联动、多学科融合的良好局面,以促进器官捐献率提升,最终达到提高器官捐献转化率、平均器官产出率和获取器官利用率,从而提升获取器官质量和器官移植预后的效果。
Organ donation and transplantation is related to people′s health and livelihood,and the political image of the country.Therefore,under the premise of national policy leadership and operational guidance,the administrative authorities formulate relevant policies to promote the work of organ donation,which plays a decisive role in standardizing the implementation and healthy development.At the same time,the clinical work of organ donation and transplantation begins with the identification of potential donors,and the level of the identification rate of potential donors determines the total scale of local organ donation.At the same time,the clinical work of organ donation and transplantation begins with the identification of potential donors.The identification and referral of potential donors requires the active participation of medical staff of ICU,neurology,neurosurgery,emergency department and other relevant departments,and to further increase the contact between organ procurement organization(OPO)and various medical institutions,and to explore the possibility of building a localized regional organ donation network.It has further strengthened the connection between OPO and various medical institutions,explored the construction of local organ donation network,and played an active and effective role in promoting the local organ donation rate.Organ donation coordinators′professional knowledge and communication skills have an important impact on the support of medical staff and the attitude of family members towards organ donation.In this paper,we discuss how to strengthen the institutional construction of OPO under the policy support of the government and the higher authorities,to build a perfect organ donation system in conjunction with local medical institutions,to improve the implementation process of organ donation,and to strengthen the clinical ability and effective communication ability of organ donation coordinators,so as to form a good situation of cooperation among multiple parties,multi-measures,up-and-down linkage,and multidisciplinary integration,in order to promote the local organ donation rate and improve the local organ donation rate,improve the conversion rate of organ donation,the average organ output rate,and the utilization rate of acquired organs,thereby improving the quality of acquired organs and the postoperative results of organ transplantation.
作者
王惠英
孙永康
武小桐
Wang Huiying;Sun Yongkang;Wu Xiaotong(Shanxi Provincial Human Organ Procurement and Allocation Center,Taiyuan 030006,China;The Second People′s Hospital of Shanxi Province,Taiyuan 030012,China)
出处
《中华移植杂志（电子版）》
CAS
2024年第1期12-16,共5页
Chinese Journal of Transplantation(Electronic Edition)
关键词
器官获取组织
医疗机构
器官捐献
器官移植
协同联动
Organ procurement organization
Medical institution
Organ donation
Organ transplantation
Synergistic linkage
