BACKGROUND:Kidney transplantation (KTx) disparity is a significant problem in the United States, particularly in the Southeastern region. In response to this phenomenon, the Southeastern Kidney Transplant Coalition was created in 2011 to increase the KTx rate, and to reduce disparities in access to transplantation in the Southeast, by identifying and reducing barriers in the transplant process. METHODS:To determine perceived barriers and facilitators to KTx that dialysis patients in this region experience, we conducted three focus groups with 40 total patients in Georgia, North Carolina, and South Carolina. RESULTS:We identified two novel themes specific to Southeastern dialysis patients that describe the major barriers and facilitators to kidney transplantation: dialysis center approaches to patient education about KTx, and dialysis center advocacy and encouragement for KTx. In addition, themes related to barriers and facilitators of KTx were evident that were previously mentioned in the literature such as age, fear, knowing other patients with good or bad experiences with KTx, distrust of the KTx process equity, financial concerns and medical barriers. CONCLUSIONS:Dialysis providers are encouraged to enhance their delivery of information and active assistance to underserved patients related to KTx.

译文

背景:在美国,尤其是在东南部地区,肾脏移植(KTx)差异是一个重大问题。为了应对这种现象,东南肾脏移植联盟于2011年成立,旨在通过确定和减少移植过程中的障碍,提高KTx率,并减少东南移植方面的差异。
方法:为了确定该地区透析患者所经历的阻碍KTx的障碍和促进因素,我们在乔治亚州,北卡罗来纳州和南卡罗来纳州进行了三个焦点小组研究,共有40名患者参加。
结果:我们确定了两个针对东南部透析患者的新颖主题,这些主题描述了肾脏移植的主要障碍和促进因素:透析中心对KTx进行患者教育的方法以及透析中心对KTx的倡导和鼓励。此外,与KTx的障碍和促进因素相关的主题很明显,这些在以前的文献中已经提到过,例如年龄,恐惧,认识其他患有KTx的好或坏患者,对KTx流程公平性的不信任,财务问题和医疗障碍。
结论:鼓励透析服务提供者向与KTx相关的服务不足的患者加强信息传递和积极协助。

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