Acronyms and Abbreviations |
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xxiii | |
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1 | (224) |
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1 | (3) |
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Challenges and Opportunities |
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4 | (2) |
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6 | (11) |
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17 | (2) |
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1 Introduction and Study Context |
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19 | (16) |
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Movement Toward a National System |
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19 | (1) |
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Complexity, Scarcity, and Public Concerns |
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20 | (4) |
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24 | (2) |
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The National Academies Study Process |
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26 | (1) |
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Committee Approach and Interpretation of the Statement of Task |
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27 | (4) |
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Why Is This Study Needed? |
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31 | (1) |
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31 | (2) |
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33 | (2) |
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2 The U.S. Organ Transplantation System And Opportunities For Improvement |
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35 | (26) |
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Evolution of National Organ Transplantation Systems, Policies, and Oversight |
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35 | (4) |
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Complexity of the Current Organ Transplantation System |
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39 | (2) |
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National Coals to Drive Systematic Improvement |
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41 | (7) |
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Deceased Donor Organ Use and Economics Today |
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48 | (7) |
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Innovation Challenges and Opportunities |
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55 | (1) |
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56 | (5) |
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3 Foundations For A Trustworthy Deceased Donor Organ Transplantation System |
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61 | (24) |
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Why Is Trustworthiness Important? |
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61 | (2) |
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Ethical Principles and Theories for a Trustworthy System |
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63 | (9) |
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The Relevance of Ethical Principles for the Organ Transplantation System |
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72 | (6) |
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Transparency: An Instrumental Value For a Trustworthy System |
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78 | (3) |
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81 | (4) |
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4 Confronting And Eliminating Inequities In The Organ Transplantation System |
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85 | (32) |
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Prioritizing Health Equity in the Transplantation System---Why Is This Important? |
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86 | (2) |
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Striving for Health Equity and Fairness in Organ Transplantation |
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88 | (9) |
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Data Challenges Related to Assessing and Assuring Equity |
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97 | (3) |
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Structural Barriers to Equity in the Pathway to an Organ Transplant |
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100 | (3) |
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Improving Quality and Health Equity Across the Entire Organ Transplantation System |
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103 | (2) |
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Evidence-Based Interventions for Improving Health Equity in the Organ Transplantation System |
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105 | (4) |
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109 | (8) |
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5 Saving More Lives And Enhancing Equity With Deceased Donor Organ Allocation Policies |
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117 | (36) |
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Disparities Exacerbated by Allocation Scoring Systems |
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120 | (1) |
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Current Allocation Policies and Scoring Systems |
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121 | (16) |
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Survival Benefit of Transplantation |
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137 | (5) |
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Modeling Allocation Policy Changes |
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142 | (2) |
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Information Technology Infrastructure Opportunities |
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144 | (3) |
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147 | (6) |
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6 Improving Procurement, Acceptance, And Use Of Deceased Donor Organs |
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153 | (46) |
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Increasing Deceased Organ Donation and Procurement |
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154 | (1) |
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OPO Regulatory Framework and Performance Metrics |
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155 | (3) |
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Key Area for Improvement for OPOs: Donation After Circulatory Determination of Death |
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158 | (8) |
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Transplant Center Regulatory Framework and Performance Metrics |
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166 | (3) |
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Key Area for Improvement for Transplant Centers: Organ Use |
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169 | (7) |
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Key Area for Improvement for Transplant Centers: Organ Offer Acceptance |
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176 | (11) |
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187 | (5) |
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192 | (7) |
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7 Measuring And Improving System Performance |
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199 | (26) |
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OPTN Measurement Challenges |
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200 | (1) |
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Dashboard of Standardized, Consensus-Based Performance Measures |
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201 | (5) |
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Quality Improvement in Organ Donation and Transplantation |
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206 | (5) |
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Aligning Incentives to Maximize Organ Use |
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211 | (9) |
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220 | (5) |
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225 | (14) |
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B Iom And National Academies Solid Organ Transplantation Reports |
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239 | (4) |
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C Biographical Sketches Of Committee Members And Staff |
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243 | |