Reducing disparities in kidney transplantation for Spanish-speaking patients through creation of a dedicated center.
Reducing disparities in kidney transplantation for Spanish-speaking patients through creation of a dedicated center.
复制标题
DOI：
10.1186/s12882-022-02879-4
复制
发表时间：
2022-07-15
期刊：
影响因子：
2.3
通讯作者：
中科院分区：
文献类型：
--
作者：
西班牙裔美国人接受的器官移植比非西班牙裔白人少得多。2018年，西班牙裔肾移植计划（HKTP）在科罗拉多大学医院（UCH）成立。这项质量改进研究的目的是检查这种文化敏感的项目在减少肾移植差异方面的效果。我们对2015年至2020年期间转诊至UCH的436名西班牙语患者的数据进行了混合方法分析。我们比较了2015-2017年（n = 156）和2018-2020年（n = 280）之间转诊患者的结局。半结构化的电话采访进行了6例患者，每个时间段和6个肾脏病提供者在丹佛大都会区。患者和提供者被要求评估沟通，移植教育和整体经验。当比较两个时间段时，在2018-2020年期间，转诊（增加79.5%，p = 0.008）和评估移植（增加82.4%，p = 0.02）的患者百分比显著增加。虽然2018-2020年期间委员会审查数量和等待名单数量有所增加，但没有达到统计学显著性（分别增加82.9%，p = 0.37和79.5%，p = 0.75）。在与病人和医疗服务提供者的访谈中，我们确定了反映参与HKTP的4个主题：改善沟通，加强病人教育，改善经验和进步领域。总体而言，患者和提供者报告了积极的经验与HKTP，并注意到提高了患者的移植过程的理解。HKTP的建立与西班牙语西班牙裔患者的显着增加有关，这些患者被转诊并接受肾移植评估。
Hispanic Americans receive disproportionately fewer organ transplants than non-Hispanic whites. In 2018, the Hispanic Kidney Transplant Program (HKTP) was established as at the University of Colorado Hospital (UCH). The purpose of this quality improvement study was to examine the effect of this culturally sensitive program in reducing disparities in kidney transplantation. We performed a mixed-methods analysis of data from 436 Spanish-speaking patients referred for transplant to UCH between 2015 and 2020. We compared outcomes for patients referred between 2015–2017 (n = 156) to those referred between 2018–2020 (n = 280). Semi-structured phone interviews were conducted with 6 patients per time period and with 6 nephrology providers in the Denver Metro Area. Patients and providers were asked to evaluate communication, transplant education, and overall experience. When comparing the two time periods, there was a significant increase in the percentage of patients being referred (79.5% increase, p-0.008) and evaluated for transplant (82.4% increase, p = 0.02) during 2018–2020. While the number of committee reviews and number waitlisted increased during 2018–2020, it did not reach statistical significance (82.9% increase, p = 0.37 and 79.5% increase, p = 0.75, respectively. During patient and provider interviews, we identified 4 themes reflecting participation in the HKTP: improved communication, enhanced patient education, improved experience and areas for advancement. Overall, patients and providers reported a positive experience with the HKTP and noted improved patient understanding of the transplantation process. The establishment of the HKTP is associated with a significant increase in Spanish-speaking Hispanic patients being referred and evaluated for kidney transplantation.
登录
查看更多内容
影响因子：
4.4
作者：
Alvaro, Eusebio M.;Siegel, Jason T.;Dominick, Alexander
通讯作者：
Dominick, Alexander
影响因子：
6.2
作者：
Ku, Elaine;Lee, Brian K.;Johansen, Kirsten L.
通讯作者：
Johansen, Kirsten L.
DOI：
10.2215/cjn.11731111
发表时间：
2012-10-01
影响因子：
9.8
作者：
Sullivan, Catherine;Leon, Janeen B.;Sehgal, Ashwini R.
通讯作者：
Sehgal, Ashwini R.
影响因子：
0.9
作者：
Rodriguez, Pablo Serrano;Szempruch, Kristen R.;Desai, Chirag S.
通讯作者：
Desai, Chirag S.
影响因子：
6.2
作者：
Wang, Andrew;Caicedo, Juan Carlos;McNatt, Gwen;Abecassis, Michael;Gordon, Elisa J.
通讯作者：
Gordon, Elisa J.