A statewide public health approach to improving organ donation: the Massachusetts Organ Donation Initiative.
Despite the growing disparity between organ supply and demand in the United States, few initiatives have attempted to close the gap through systematic population-based public health endeavors. We examined the evolution, implementation, and outcomes of the Massachusetts Organ Donation Initiative, a statewide effort that included a unique partnership among organ procurement organizations, major teaching hospitals, and the state's department of public health. Lessons from this initiative have contributed to growing national efforts for increasing organ supply and have provided insights for addressing this continuing public health challenge.
Koh
Howard K
HK
Division of Public Health Practice, Harvard School of Public Health, Boston, Mass 02115, USA. hkoh@hsph.harvard.edu
Jacobson
Marsha D
MD
Lyddy
Anne Marie
AM
O'Connor
Kevin J
KJ
Fitzpatrick
Sean M
SM
Krakow
Milly
M
Judge
Christine M
CM
Alpert
Hillel R
HR
Luskin
Richard S
RS
D003299:Cooperative Behavior; D004608:Eligibility Determination; D006784:Hospitals, Teaching / Q000458:organization & administration*; D006801:Humans; D007373:Interinstitutional Relations; D007857:Leadership; D008404:Massachusetts; D019982:Organizational Case Studies; D009936:Organizational Innovation; D009939:Organizations, Nonprofit / Q000458:organization & administration*; D016730:Program Development; D015397:Program Evaluation; D011635:Public Health Administration; D014019:Tissue Donors / Q000706:statistics & numerical data; D009927:Tissue and Organ Procurement / Q000458:organization & administration*; D017749:Total Quality Management; D019737:Transplants / Q000706:statistics & numerical data; D014850:Waiting Lists