Public survey of financial incentives for kidney donation

Kranenburg, Leonieke W.; Schram, Andre; Zuidema, Wilij; Weimar, Willem; Hilhorst, Medard; Hessing, Ellen; Passchier, Jan; Busschbach, Jan J. V.

doi:10.1093/ndt/gfm643

Cited by 37 publications

(26 citation statements)

References 12 publications

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“…Survey questions derived from prior surveys on financial compensation (19)(20)(21)(22)(23)(24), and some were newly developed. The survey introduction and new items were prepared at a 7th grade reading level (Flesch-Kincaid grade 7.6) to facilitate understanding.…”

Section: Survey Questionnairementioning

confidence: 99%

Does Financial Compensation for Living Kidney Donation Change Willingness to Donate?

Gordon

Patel

Sohn

et al. 2015

American Journal of Transplantation

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The potential use of financial compensation to increase living kidney donation rates remains controversial in potentially introducing undue inducement of vulnerable populations to donate. This cross-sectional study assessed amounts of financial compensation that would generate motivation and an undue inducement to donate to family/friends or strangers. Individuals leaving six Departments of Motor Vehicles were surveyed. Of the 210 participants who provided verbal consent (94% participation rate), respondents' willingness to donate would not change (70%), or would increase (29%) with compensation. Median lowest amounts of financial compensation for which participants would begin to consider donating a kidney were $5000 for family/friends, and $10 000 for strangers; respondents reporting $0 for family/friends (52%) or strangers (26%) were excluded from analysis. Median lowest amounts of financial compensation for which participants could no longer decline (perceive an undue inducement) were $50 000 for family/friends, and $100 000 for strangers; respondents reporting $0 for family/friends (44%) or strangers (23%) were excluded from analysis. The two most preferred forms of compensation included: direct payment of money (61%) and paid leave (21%). The two most preferred uses of compensation included: paying off debt (38%) and paying nonmedical expenses associated with the transplant (29%).

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Section: Survey Questionnairementioning

confidence: 99%

Does Financial Compensation for Living Kidney Donation Change Willingness to Donate?

Gordon

Patel

Sohn

et al. 2015

American Journal of Transplantation

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“…This central contention and these conflicting values may explain the discrepant and polarized views observed in previous surveys conducted with the general public (25,26,32), and they also broadly reflect many of the arguments put forward by health professionals. Existing surveys have largely been designed to quantify the proportion of the general public that would be in favor of financial reimbursement, compensation, or incentives, but do not elicit or describe the reasons underpinning their responses.…”

Section: Discussionmentioning

confidence: 88%

“…The focus group guide (Supplemental Material) was based on a systematic review of community attitudes to living organ donation (31), recent articles on financial compensation and incentives for living kidney donors (7,18,19,25,(32)(33)(34)(35), and discussion among the research team. A.T. and/or A.F.R.…”

Section: Data Collectionmentioning

confidence: 99%

Focus Group Study of Public Opinion About Paying Living Kidney Donors in Australia

Tong

Ralph

Chapman

et al. 2015

Clinical Journal of the American Society of Nephrology

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Background and objectives The unmet demand for kidney transplantation has generated intense controversy about introducing incentives for living kidney donors to increase donation rates. Such debates may affect public perception and acceptance of living kidney donation. This study aims to describe the range and depth of public opinion on financial reimbursement, compensation, and incentives for living kidney donors.

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“…Pilot advocates should indicate how this concern could be met. Because public trust and public support are essential, public communication and the evaluation of public perception should be part of pilot studies [10,20,21]. Communication strategies can evoke the (partial) success of a pilot but can also be the cause of its failure.…”

Section: Communicationmentioning

confidence: 99%

Financial donor incentives: Problems with pilots

Hilhorst¹

2018

Nephrol Renal Dis

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The dispute regarding incentives in organ donation has been going on for years but has not yet reached a conclusion. To resolve the debate, scholars have advocated pilot studies. However, these proposals leave many questions unanswered. I will address the most pressing questions, which concern the concept of neutrality, the variety of incentives, limitations of pilot studies, fairness in outcomes, the naturalistic fallacy, donor profiles, public communication, and reversibility. My analysis shows that the proposed pilot studies will not mitigate today's moral paralysis regarding incentives in organ donation. These pilot experiments will not provide us with normative answers, unless satisfactory solutions can be found for the problems raised. Basically, to settle the debate, the normative debate itself must be strengthened.

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Public survey of financial incentives for kidney donation

Abstract: Although almost half of the respondents (46%) were reluctant towards introducing a system with fixed compensation to increase the number of living kidney donors, still 25% of the general public reacted positively.

Cited by 37 publications

References 12 publications

Does Financial Compensation for Living Kidney Donation Change Willingness to Donate?

Does Financial Compensation for Living Kidney Donation Change Willingness to Donate?

Focus Group Study of Public Opinion About Paying Living Kidney Donors in Australia

Financial donor incentives: Problems with pilots

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