title: 2007: the year of regulatory change.
abstract: BACKGROUND
  The two countries that performed the most organ transplants in 2006, the United States and China, initiated significant regulatory changes in 2007 that continue into 2008 and likely several more years. The purpose of this article is to highlight the reasons behind the regulatory initiatives, document the new regulations, and assess the impact thus far.
  
  
  METHODS
  Review of US and Chinese governmental regulations emphasizing the underlying principles and impact.
  
  
  RESULTS
  We evaluated the changes with respect to equity and transparency; understanding transplant policy; field strength; and informed consent. We found a number of similarities between the US and Chinese regulatory changes. The changes in the United States introduced new members into the team (independent donor advocates) and improved documentation, while China began the process of regulation by defining the process and identifying practices that are not allowed.
  
  
  CONCLUSIONS
  We found a number of similarities between the regulatory changes in the United States and China. Both countries have made significant progress in attempting to improve the process for both donors and recipients. The United States is a more mature system, while China is attempting to move toward an international standard. In the short term, there may be decreased overall access to transplantation while transplant centers and policies adjust to the new regulations in both countries.
authors.affiliation: Department of Surgery, University of Chicago, Chicago, Illinois 60521, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Millis
authors.forename: J
authors.initials: J
authors.lastname: Huang
authors.forename: M A
authors.initials: MA
authors.lastname: Millis
authors.forename: Y
authors.initials: Y
authors.lastname: Liu
authors.forename: Y
authors.initials: Y
authors.lastname: Mao
authors.forename: M
authors.initials: M
authors.lastname: Simmerling
mesh_terms: D002681:China; D004282:Documentation / Q000592:standards; D004992:Ethics, Medical; D006801:Humans; D007258:Informed Consent; D007391:International Cooperation; D016377:Organ Transplantation / Q000331:legislation & jurisprudence* / Q000523:psychology / Q000592:standards; D014481:United States