Healthcare professionals' perceptions of the barriers to living donor kidney transplantation among African Americans.
Healthcare professionals' perceptions of the barriers to living donor kidney transplantation among African Americans.
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DOI：
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发表时间：
2006-06
影响因子：
3.3
通讯作者：
L. M. Shilling;Michele L Norman;K. Chavin;Laura G Hildebrand;S. Lunsford;Margaret S. Martin;J. Milton;G. Smalls;P. Baliga
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文献类型：
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作者：
L. M. Shilling;Michele L Norman;K. Chavin;Laura G Hildebrand;S. Lunsford;Margaret S. Martin;J. Milton;G. Smalls;P. Baliga
参与活体捐赠的非裔美国人人数仍然很低。虽然研究人员已经确定了尸体捐赠的多种障碍，但对这一人群中活体肾脏捐赠的障碍知之甚少。我们对来自南卡罗来纳州移植中心的医疗保健专业人员进行了三个焦点小组，以确定他们对非裔美国人活体肾脏捐赠障碍的看法。项目小组的一名非裔美国人和一名高加索人成员为这些小组提供了便利。会议被录音，转录和分析的关键主题。18名移植专业人员参加了三个焦点小组，包括医生、移植协调员、药剂师和一名数据协调员。对成绩单的分析显示，非洲裔美国人存在以下活体肾脏捐赠的障碍：1）预先存在的医疗条件，2）财务问题，3）不愿意询问家人和/或朋友，4）对医学界的不信任，5）害怕手术，以及6）缺乏对活体肾脏移植的认识。除了先前描述的尸体捐赠障碍外，这项研究还确定了活体捐赠特有的障碍，例如预先存在的医疗条件，财务问题，不愿意要求活体捐赠者和害怕手术。
The number of African Americans participating in living donations continues to remain low. Although researchers have identified multiple barriers to cadaveric donation, relatively little is known about barriers to living kidney donation among this population. We conducted three focus groups of healthcare professionals from a transplant center in South Carolina to determine their perceptions of barriers to living kidney donation among African Americans. An African-American and a Caucasian member of the project team facilitated the groups. Sessions were taped, transcribed and analyzed for key themes. Eighteen transplant professionals participated in the three focus groups, including physicians, transplant coordinators, pharmacists and a data coordinator. Analysis of the transcripts revealed the following perceived barriers to living kidney donation among African Americans: 1) pre-existing medical conditions, 2) financial concerns, 3) reluctance to ask family members and/or friends, 4) distrust of the medical community, 5) fear of surgery, and 6) lack of awareness about living donor kidney transplantation. In addition to previously described barriers to cadaveric donation, this study identified barriers unique to living donation, such as pre-existing medical conditions, financial concerns, reluctance to ask a living donor and fear of surgery.