The effectiveness of transplant legislation, procedures and management: Cross-country evidence

Bilgel, Fırat

doi:10.1016/j.healthpol.2012.12.014

Cited by 8 publications

(9 citation statements)

References 25 publications

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“…It has long been known that Muslims in North America and the UK tend not to donate organs [21,22]. A recent study on deceased and living donor organ transplantation rates among 62 countries over a 2-year period revealed significantly greater living but lesser deceased donor transplant rates in non-Christian countries [23]. In another study, the percentage of the population that is Roman Catholic and enrolled in third-tier education were 2 strong predictors of deceased organ donation in Europe [24].…”

Section: Discussionmentioning

confidence: 98%

Intellectuality and Attitudes of Clergy About Organ Donation in Turkey: Metasynthesis of Observational Studies

Aykas¹,

Uslu²,

Doğan³

2015

Transplantation Proceedings

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Section: Discussionmentioning

confidence: 98%

Intellectuality and Attitudes of Clergy About Organ Donation in Turkey: Metasynthesis of Observational Studies

Aykas¹,

Uslu²,

Doğan³

2015

Transplantation Proceedings

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“…A presumed consent model is a primarily favoured approach despite the entrenched altruistic notion of gift of life; thus raising questions regarding the authenticity of such donations (Guttman et al, 2016). Notwithstanding its appeal, it is far from ethically unproblematic and rife with criticisms, notably on its effectiveness in overcoming organ shortage (Albertsen 2018;Hawkes 2018;Dalen and Henkens 2014;Saunders 2010;Verheijde et al, 2009;Bilgel 2013). Critics often point to considerably long transplant waiting lists in presumed consent jurisdictions, citing that legislation alone would not increase donor rates (Shepherd et al, 2014) while other objections include the lack of trust and certainty in such systems (McCartney 2017).…”

Section: A the Organ Donation Challengementioning

confidence: 99%

Remapping the organ donation ethical climate: a care ethics consideration

Chan

2019

Med Health Care and Philos

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Organ donation has gained much attention as the need for transplant exceeds the supply of organs. Various proposals have been put forward to address the organ shortage challenge, ranging from offering incentives to donors, addressing family refusals to donations and instituting presumed consent laws. Presumed consent as the favoured approach has not been universally effective in increasing actual transplants despite its appeal. Few considerations have been given to the broader ethical climate influencing the organ donation debate. This paper examines the ethical climate surrounding organ donation and identifies the challenges existing within such environments. It explores care ethics and its application to the donation system, demonstrating how it can influence the organ donation phases. The conclusion drawn from the analysis is that a caring ethical climate in the pre, during and post-transplant system respects donor autonomy, addresses family reluctance to agree to donation, facilitates the needs of the donee and creates an environment that promotes non-maleficence for all stakeholders.

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“…Donation rates are lower in countries where family consent is routinely sought, 52 and transplantation rates in countries where family consent is legally required are half those of countries lacking this requirement. 55 However, in contrast to families whose permission is sought, those who are informed about the wishes of the deceased and told that the organ procurement organization's goal is to honor those wishes are less likely to oppose donation. 56,57 Personal contact between donation coordinators and families can also help:…”

Section: Features Of the Consent Processmentioning

confidence: 99%

Does Changing Defaults save Lives? Effects of Presumed Consent Organ Donation Policies

Steffel,

Williams,

Tannenbaum

2019

Behavioral Science & Policy

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In this review, we examine whether presumed consent organ donation policies save lives. We compare presumed consent defaults (where people are considered organ donors by default but can opt out of donation) with explicit consent defaults (where people are considered nondonors by default but can opt in to be considered donors). Experimental, cross-sectional, and longitudinal evidence indicates that rates of consent, donation, and transplantation are higher under presumed consent policies than under explicit consent policies. The evidence also suggests, however, that presumed consent is one factor among many that determine the number of organs donated and lives saved; policymakers must balance a number of other considerations to ensure that shifting to a presumed consent system will boost donation and transplantation rates. We underscore the importance of investing in health care infrastructure to support organ procurement and transplantation and offer empirically informed recommendations to enable consent policies to save the most lives.

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The effectiveness of transplant legislation, procedures and management: Cross-country evidence

Cited by 8 publications

References 25 publications

Intellectuality and Attitudes of Clergy About Organ Donation in Turkey: Metasynthesis of Observational Studies

Intellectuality and Attitudes of Clergy About Organ Donation in Turkey: Metasynthesis of Observational Studies

Remapping the organ donation ethical climate: a care ethics consideration

Does Changing Defaults save Lives? Effects of Presumed Consent Organ Donation Policies

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