総論：質問内容と移植医からの要望

抄録

【Objective】 As the number of organ transplants is increasing in Japan, overwork of transplant doctors will become a matter of concern. The aim of this study is to clarify the working status of transplant doctors who are involved in organ procurement surgery from deceased donors, according to the result of a survey conducted by the Japanese Society for Transplantation.

【Methods】 A request to answer a questionnaire was sent to all members of the Society by e-mail so that transplant doctors could answer on the web from December 1, 2020 to February 1, 2021. Another questionnaire request was sent to the hospital directors of 132 transplant facilities so that the person in charge who was involved in employment management could answer on the web from December 1, 2020 to February 28, 2021.

【Results】 In the questionnaire to transplant doctors, 340 doctors answered. On the other hand, 41 out of 132 transplant facilities (31%) responded. As for the question “Are there any points on which you would like improvement regarding work related to organ procurement surgery?” (free description), 151 out of 340 respondents answered and the answers were classified into several categories. The most common category was allowance, followed by the matter regarding transportation of equipment for organ procurement, and the answers regarding these two problems accounted for a half of the total. The other requests included improving organ procurement schedules, securing rest time, enhancing mutual aid systems for organ procurement, clarifying compensation for doctors, and specialization of donor and recipient surgeries.

【Conclusion】 According to the requests raised by transplant doctors, it was revealed that they are desperately working for organ procurement surgery and their working environment is not ideal. In order to maintain high standards of clinical transplantation in Japan, it is necessary to make an effort toward improving the organ donation / transplantation medical system at various levels.