INTRODUCTION There are inequalities experienced by minority ethnic groups in the UK in organ donation and transplant services, with significant variation in relation to demand for, access to and waiting times for these services. SOURCES OF DATA A narrative review of research obtained via several databases, including PubMed and Medline, was conducted. AREAS OF AGREEMENT A vision of equity and inclusion, which meets the need of the heterogeneous UK population, can only be realized by adopting a culturally competent approach to systems-wide working in organ donation in four core areas-transplant services; workforce and staff training; diversity and inclusion research; and public engagement. AREAS OF CONTROVERSY Most of the data on the background of organ donors and recipients use general categories such as Asian or Black. We need to progress to a position of more granular data by more specific ethnicity so that we can better understand the trends and target action accordingly. GROWING POINTS By positively embracing the heterogeneity of the UK population, demand for transplantation can be reduced through a sustained commitment to public health interventions and culturally competent approaches in the management of long-term conditions. AREAS TIMELY FOR DEVELOPING RESEARCH Improved access to transplantation and reduced waiting times can be achieved to increase the number of organ donors from minority ethnic groups if there are concerted and adequately resourced culturally competent interventions with concomitant evaluation programmes.

中文翻译：

---

解决英国少数族裔社区的器官捐赠问题——一个完整的系统方法。

引言 英国少数族裔群体在器官捐赠和移植服务方面经历了不平等，在这些服务的需求、获得和等待时间方面存在显着差异。数据来源 对通过多个数据库（包括 PubMed 和 Medline）获得的研究进行了叙述性回顾。协议领域 满足英国多样化人口需求的公平和包容愿景，只能通过在四个核心领域（移植服务）的器官捐赠系统范围内采用具有文化能力的方法来实现；劳动力和员工培训；多样性和包容性研究；和公众参与。有争议的领域 大多数关于器官捐献者和接受者背景的数据都使用一般类别，例如亚洲人或黑人。我们需要通过更具体的种族发展到更精细的数据位置，以便我们能够更好地了解趋势并相应地采取行动。增长点 通过积极接受英国人口的异质性，可以通过持续致力于公共卫生干预和长期疾病管理中具有文化能力的方法来减少对移植的需求。适时开展研究的领域 如果有协调一致且资源充足的文化干预措施和伴随的评估计划，就可以提高移植的可及性并减少等待时间，以增加少数民族器官捐献者的数量。增长点 通过积极接受英国人口的异质性，可以通过持续致力于公共卫生干预和长期疾病管理中具有文化能力的方法来减少对移植的需求。适时开展研究的领域 如果有协调一致且资源充足的文化干预措施和伴随的评估计划，就可以提高移植的可及性并减少等待时间，以增加少数民族器官捐献者的数量。增长点 通过积极接受英国人口的异质性，可以通过持续致力于公共卫生干预和长期疾病管理中具有文化能力的方法来减少对移植的需求。适时开展研究的领域 如果有协调一致且资源充足的文化干预措施和伴随的评估计划，就可以提高移植的可及性并减少等待时间，以增加少数民族器官捐献者的数量。