健康医疗新趋势.pdf

Health 2010AUGUST16 17 byJosephineMarcottyI@ 2009．StarTHbune (Minneapolis)．DistributedbyMcClatchy-Tribune InformationSe~ ices． elissaLarson satoutsideacoffee shopstaringatthebrochureher doctorhadjusthandedher． “Kidneyexchange．”itread—asim— plephraseforaremarkableideathat 05 couldsaveherlife．0nealtruistic persondonatesakidney，triggeringacascade dollarsinthecostoftreatingkidneydiseaseand ofsurgeriesacrossthecountry，withonedonor endtheordealofthousandsofdesperatekidney afteranotherpayingitforwardinanever— patients． endingchainofkidneytransplants．Until，final一 10 Such kidneyexchangesarebrandnew，but ly，shegetsthekidneythat’srightofrher． theyrelyontheoldesteconomicmodelofaU— T“hisisthewayIhavetogo．”Larsonsaid． trade．Your fegetsacompatiblekidneyfrom Fortwoyears[she]hasbeensearchingfor astranger，you giveacompatiblekidneytothe adonor．Now，atlast，Larsonseesasolution stranger’ssister．Twoperfectmatches--orfouror intheworks：aningeniouscomputermatching 15 lOorloo--aremadebyacomputerthatchooses system thatcanreachacrosstheUnitedStates thebestmedicalandgeographiccombinations． toconnectdonors thpatientsandbringhope Nooneexpectsexchangepoolstoelim inate tomanyofthe8o．000Americansonthekidney thedeceasedkidneywaitinglist．Butsomepre- waitinglist． diettheycould increasethenumberoftrans— plantsbyupto4，000peryear--thesamenum。 berofpeoplewhodieeachyearwhilewaitingon Theideastillfacesdauntinghurdles．It thelist．孽 needsbuy—in from moreofthenation’s220 transplanthospitals，abroadersetofwidely VocabularyFOCUS acceptedmedicalguidelinesofr1i、，ingdonors，25 gratification(n)Lgr~etoflkefon】theactofsarisfying