Kidney transplant access in the Southeastern United States: the need for a top-down transformation.

摘要: End-stage renal disease (ESRD) and poverty are highly prevalent conditions in the Southeastern United States. The American Southeast also has some of lowest attainments health status among its constituents. Transplantation rates particularly low compared with other regions These kidney transplantation likely reflect poor access to medical care. This disproportionate lack care ESRD patients reflects convergence interaction socioeconomic biologic forces at patient level interacting financial organizational structure health-care system. Improving transplant will take disruptive political, system changes whose scope transcends centers dialysis units.