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Risk för orättvis prioritering av patienter vid njurtransplantation: En enda väntelista bör införas, visar studie av svensk praxis
Linköping University, Department of Medical and Health Sciences, Division of Health and Society. Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Management and Engineering, Economics. Linköping University, Faculty of Arts and Sciences. Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Health Sciences.ORCID iD: 0000-0002-8159-1249
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Culture and Communication, Arts and Humanities. Linköping University, Faculty of Arts and Sciences. Linköping University, Department of Medical and Health Sciences, Division of Health and Society. Linköping University, Faculty of Health Sciences.
2014 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 111, no 37Article in journal (Refereed) Published
Abstract [sv]

Njurar från avlidna donatorer är en gemensam resurs

Gemensamma resurser ska fördelas på ett effektivt och rättvist sätt.

I en intervjustudie innefattande svenska transplantationskirurger, nefrologer och transplantationskoordinatorer undersöktes faktorer och värden som ligger till grund för allokering av njurar.

Två risker för orättvisa i fördelningssystemet identifierades.

Faktorer och värden som ligger till grund för beslut bör göras mer publika och lättillgängliga.

Sverige bör införa ett nationellt, centraliserat fördelningssystem.

Abstract [en]

In order to investigate the fairness of the priority setting process underpinning Swedish kidney transplantation in reference to the Accountability for Reasonableness (A4R) framework, 15 interviews with transplant surgeons, nephrologists, and coordinators were carried out. The factors described by interviewees and the values they rest on satisfy the relevance criterion of the A4R. Two potential sources for unfair inequalities were identified, namely the use of clinical judge­ments and varying institutional policies among dif­ferent centres. It is recommended that factors and values used in the priority process are made more public. Sweden should also consider a national, centralised system for allocation of kidneys and not rely on present day local allocation.

Place, publisher, year, edition, pages
2014. Vol. 111, no 37
Keyword [sv]
etik, prioritering, njurtransplantation
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-110626PubMedID: 25253609OAI: oai:DiVA.org:liu-110626DiVA: diva2:747399
Available from: 2014-09-16 Created: 2014-09-16 Last updated: 2017-12-05Bibliographically approved

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Omar, FaisalTinghög, GustavCarlsson, PerWelin, Stellan

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