系统性多科室协作器官捐献国际经验对我国的启示

Enlightenment of international experience of organ donation related systematic multi-department collaboration to China

器官移植是终末期器官衰竭的有效治疗方法,而供者短缺是制约器官移植发展的重要问题,也是中国器官移植改革亟待解决的难点。为解决供者短缺的难题,西方国家建立了系统性多科室协作(SMDC)的工作机制,通过推进相关科室在器官捐献各环节的系统性协作,显著提升了器官捐献水平。目前,我国器官捐献与移植工作已经步入高质量发展的新阶段,器官捐献工作水平亟待进一步提升。为此,本文通过分析梳理SMDC的概念、SMDC涉及的环节与科室、SMDC的国际经验,结合我国具体情况,就在我国实施SMDC、不断发展完善器官捐献中国模式,提出建议和方案。

Organ transplantation is an effective treatment for end-stage organ failure.The shortage of donors severely restricts the development of organ transplantation,which is also an unresolved challenge in the reform of organ transplantation in China.To alleviate the shortage of donors,western countries have established the working mechanism of systematic multi-department collaboration(SMDC),which has significantly elevated the level of organ donation by promoting systematic collaboration among relevant departments in all aspects of organ donation.At present,organ donation and transplantation in China have entered the new stage of high-quality development,whereas the level of organ donation remains to be further improved.In this article,the concept of SMDC,the procedures and departments related to SMDC,and the international experience of SMDC were illustrated.Besides,suggestions and proposals were delivered for implementing SMDC in China and constantly developing and modifying the Chinese model of organ donation catering to national conditions.