A review of public policies to procure and distribute kidneys for transplantation.
The purpose of this article is to provide an up-to-date review of the current status of frequently changing public policies for the procurement and distribution of donor kidneys for transplantation. Issues in procurement involve the Uniform Anatomical Gift Act, criteria for brain death, routine inquiry/required request policies, and the use of living kidney donors. Issues in distribution involve access to the transplant waiting list and use of the new national point system to select recipients from the list. These public policies are relevant for internists, who often care for potential organ donors and patients with end-stage renal disease. The issues are also relevant for policy-minded physicians because renal transplantation is the paradigm for organ transplant policy.
Singer
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Robert Wood Johnson Clinical Scholars Program, Yale University School of Medicine, New Haven.
D030881:Disclosure; D015276:Health Care Rationing; D006291:Health Policy; D006801:Humans; D007258:Informed Consent / Q000331:legislation & jurisprudence; D016030:Kidney Transplantation / Q000592:standards; D007882:Legislation, Hospital; D018579:Patient Selection; D018570:Risk Assessment; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000331:legislation & jurisprudence*; D014481:United States; D014850:Waiting Lists