PDF(Pubmed)
Abstract：
Deceased donor kidney transplantation (DDKT) is common in high income Western countries with high transplantation rates. However, the utilization of deceased organs is suboptimal in Asia, due to a multitude of factors. Coherent policies are integral to the development of DDKT programs and deterrence of commercialization, but most are still at an infancy and formative stage in Asia. This review article identifies the glass ceiling effects of social, cultural, religious, political, and technical factors hampering the progress of DDKT in Asia. Additionally, it reviews the history of policy development in different countries and describes their idiosyncratic barriers and challenges. Lastly, it discusses innovative policy measures that can be undertaken to proliferate DDKT practice and curtail commercialization. The long-term ideal is to achieve regional equity and self-sufficiency, through a shared ethos of social and ethical responsibility that transcends and resonates with the different segments of the Asian community.
摘要：
死亡供体肾移植（DDKT）在高收入的西方国家很常见，移植率高。然而,死亡器官的利用在亚洲是次优的，由于多种因素。连贯的政策对于DDKT计划的发展和商业化的威慑是不可或缺的，但在亚洲，大多数仍处于起步和形成阶段。这篇综述文章确定了社会的玻璃天花板效应，文化,宗教,政治,和技术因素阻碍了DDKT在亚洲的发展。此外,它回顾了不同国家政策发展的历史，并描述了它们的特殊障碍和挑战。最后,它讨论了可以采取的创新政策措施，以推广DDKT做法和减少商业化。长期的理想是实现区域公平和自给自足,通过社会和道德责任的共同精神，超越并与亚洲社区的不同阶层产生共鸣。
