Presumed Consent Legislation Failed to Improve Organ Donation in Chile

Domı́nguez, J.; Rojas, Julia

doi:10.1016/j.transproceed.2013.01.008

Cited by 52 publications

(34 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The thought is that a controversial change in the procurement system may spark a public reaction, leading people to opt-out in great numbers. The experiences from Chile29 and Brazil27 are sometimes provided as examples of negative reactions to the introduction of opt-out legislation. The third concern is fewer deceased donors through family refusals.…”

Section: Concerns Regarding Deemed Consentmentioning

confidence: 99%

Deemed consent: assessing the new opt-out approach to organ procurement in Wales

Albertsen

2018

J Med Ethics

View full text Add to dashboard Cite

In December 2015, Wales became the first country in the UK to move away from an opt-in system in organ procurement. The new legislation introduces the concept of deemed consent whereby a person who neither opt in nor opt out is deemed to have consented to donation. The data released by the National Health Service (NHS) in July 2017 provide an excellent opportunity to assess this legislation in light of concerns that it would decrease procurement rates for living and deceased donation, as well as sparking an increase in family refusals. None of these concerns have come to pass, with Wales experiencing more registered donors, fewer family refusals and more living donations. However, as the number of actual donors has dropped slightly from a high level, the situation must be monitored closely in the years to come.

show abstract

Section: Concerns Regarding Deemed Consentmentioning

confidence: 99%

Deemed consent: assessing the new opt-out approach to organ procurement in Wales

Albertsen

2018

J Med Ethics

View full text Add to dashboard Cite

show abstract

“…The mean donor frequency during 2010–2011 was 5.95 donors per million population, 29% less than the frequency of 8.31 donors per million population observed during 2000–2009. 13 Even when accounting for the adverse effects of the earthquake that occurred in February 2010 – such as loss of hospital facilities – these data suggest that the decreasing trend first noted in 2007 was exacerbated in 2010 by the new law.…”

Section: The Chilean Experiencementioning

confidence: 99%

Increasing organ donation by presumed consent and allocation priority: Chile

Zúñiga-Fajuri

2015

Bull. World Health Organ.

View full text Add to dashboard Cite

Chile, a middle-income country, recently joined Israel and Singapore as the world’s only countries to require reciprocity as a precondition for organ transplantation. The Chilean reform includes opt-out provisions designed to foster donation and priority for organ transplantation for registered people. Although the reform has had serious difficulties in achieving its mission, it can be reviewed by other countries that seek to address the serious shortage of organs. As increased organ donation can substantially enhance or save more lives, the effect on organ availability due to incentives arising from rules of preference should not be underestimated.

show abstract

“…Se trata de una regla según la cual "la voluntad de donación expresada en vida por una persona solo puede ser revocada por ella misma y no podrá ser sustituida por sus deudos y/o familiares" (artículo 2°, parágrafo 1º). Una consecuencia no esperada de la reforma chilena fue una caída drástica en la donación de órganos, que pasaron de 111 en 2009 a 92 en 2010, la donación más baja desde 1995 (Zúñiga, 2015(Zúñiga, , p. 1332 (Domínguez y Rojas, 2013). Finalmente, en diciembre de 2011, el 37 % de las personas que renovaron el documento de identificación o la licencia de conducción se registró como no donante.…”

Section: El Ajuste Normativo En Colombiaunclassified

La presunción de la donación de órganos en Colombia: reflexiones para el debate

Chaparro

2017

Rev. latinoam. bioet

View full text Add to dashboard Cite

La legislación sobre presunción de consentimiento es considerada como una medida efectiva para mejorar las tasas de donación de órganos. En el caso colombiano, este modelo institucional existe desde 1988; sin embargo, en 2016 las leyes de donación han sido reformadas para ratificar el modelo de presunción en una versión fuerte que garantice su implementación, y las nuevas disposiciones evitan que la familia pueda oponerse a la donación de órganos. El presente documento plantea que dicha estrategia no está libre de riesgos y su éxito depende de garantizar la transparencia de la información. Se presenta evidencia empírica y reflexiones teóricas que indican que la relación entre presunción de donación y mayor disponibilidad de órganos no es inequívoca, pues la decisión de donar es muy sensible a la información disponible en el entorno. Se concluye que si la información y los incentivos no son claros los individuos pueden manifestar su negativa a la donación de órganos y, en consecuencia, el sentido de solidaridad en el interior de la comunidad podría ser sacrificado.

show abstract

Presumed Consent Legislation Failed to Improve Organ Donation in Chile

Cited by 52 publications

References 5 publications

Deemed consent: assessing the new opt-out approach to organ procurement in Wales

Deemed consent: assessing the new opt-out approach to organ procurement in Wales

Increasing organ donation by presumed consent and allocation priority: Chile

La presunción de la donación de órganos en Colombia: reflexiones para el debate

Contact Info

Product

Resources

About