Improving equity of access to deceased donor kidneys in New Zealand.
Before 1999, deceased donor kidneys in New Zealand were allocated by local nephrologists on the basis of local needs and factors thought to be beneficial to graft outcome-in particular, matching tissue type. Waiting times were much longer for patients whose tissue type was different from that of our mainly white population of deceased donors. A National Kidney Allocation System was developed that improved equity of access for our unique population base in New Zealand, taking into account not only tissue-type matching but time spent waiting.
Faire
Bridget
B
Auckland City Hospital, Auckland, New Zealand.
Dittmer
Ian
I
D000328:Adult; D046148:Donor Selection / Q000458:organization & administration*; D006085:Graft Survival; D015276:Health Care Rationing / Q000458:organization & administration*; D006297:Health Services Accessibility / Q000458:organization & administration*; D054625:Healthcare Disparities / Q000458:organization & administration; D006650:Histocompatibility Testing; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods; D008297:Male; D020380:Needs Assessment / Q000458:organization & administration; D009520:New Zealand; D010139:Pacific Islands / Q000208:ethnology; D012042:Registries; D009927:Tissue and Organ Procurement / Q000458:organization & administration*; D014850:Waiting Lists