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AJPH First Look, published online ahead of print Nov 30, 2006
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American Journal of Public Health, 10.2105/AJPH.2005.077701


Health Policy and Ethics

A Statewide Public Health Approach to Improving Organ Donation: The Massachusetts Organ Donation Initiative

Howard K. Koh 1*, Marsha D. Jacobson 2, Anne Marie Lyddy 3, Kevin J. O'Connor 2, Sean M. Fitzpatrick 2, Milly Krakow 2, Christine M. Judge 1, Hillel R. Alpert 1, Richard S. Luskin 2

1 Harvard School of Public Health
2 New England Organ Bank
3 Partners Healthcare

* To whom correspondence should be addressed. E-mail: hkoh{at}hsph.harvard.edu.


   Abstract

Despite the growing disparity between organ supply and demand in the United States, few initiatives have attempted to close the gap through systematic population-based public health endeavors. We examined the evolution, implementation, and outcomes of the Massachusetts Organ Donation Initiative, a statewide effort that included a unique partnership among organ procurement organizations, major teaching hospitals, and the state’s department of public health. Lessons from this initiative have contributed to growing national efforts for increasing organ supply and have provided insights for addressing this continuing public health challenge.

Key Words: Government, Health Administration, Health Care Facilities/Services, Health Policy, Public Health Practice




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