Korean J Transplant.  2021 Jun;35(2):77-85. 10.4285/kjt.21.0006.

A study on the performance of the Donation Improvement Program in Korea

• Heo SJ
• Ju YH
• Noh EJ
• Kim KM
• Son YK
• Jung SW
• Kang HJ
• Lee JR
• Cho WH
• Ha J

• KMID: 2517289
• DOI: http://doi.org/10.4285/kjt.21.0006

Abstract

Background
The Donation Improvement Program (DIP) is intended to increase organ donation at hospitals. The program includes education for healthcare professionals of participating hospitals about each step of donation as well as evaluation. The DIP consists of medical record review (MRR) and a Hospital Attitude Survey (HAS). The purpose of this study was to evaluate the DIP results for the last 7 years.
Methods
For MRR, we analyzed 58,385 cases of mortality from 77 hospitals between 2012 and 2018. The HAS data for the degree of education experience, competence, and knowledge related to brain death (BD) and donation were analyzed from 23 DIP-participating hospitals in 2012 and 51 DIP-participating hospitals in 2015 and 2018 each.
Results
The recognition rate of potential BD was 24.9%, 61.3%, and 73.2%, and donation rate was 7.5%, 11.7%, and 15.8% at 6 months before, 1–2 years after, and 4–5 years after the agreement, respectively. Hospital staff with the necessary competence or knowledge to explain BD constituted 44.0% in 2012, while this increased to 62.8% in 2018.
Conclusions
The DIP could increase the recognition of BD and the organ donation rate, and positively affect the attitudes of healthcare professionals toward organ donation. Spreading the DIP to all hospitals is urgent to increase organ donation.

Keyword

Donation Improvement Program; Donor action program; Medical record review; Hospital attitude survey; Organ and tissue donation; Transplantation

Figure

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  Fig. 1 Potential brain death identification, approach, and donation rates in 2012–2018.

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  Fig. 2 Causes of donations after brain death by year.

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  Fig. 3 Knowledge and skills in organ and tissue donation.

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  Fig. 4 Confidence level in organ and tissue donation.

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