The potential of legislation on organ donation to increase the supply of donor organs

Coppen, R.; Friele, R.D.; Zee, J. van der; Gevers, Sjef

doi:10.1016/j.healthpol.2010.05.019

Cited by 21 publications

(27 citation statements)

References 32 publications

(37 reference statements)

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“…However, it is short-sighted to believe that donors receive nothing from the donation process, whether that is a sense of happiness [27,42] or access to a health service that they might not otherwise [23]. The findings from this study suggest that altruism and egoism are interwoven with each other as others have noted when discussing donation programmes such as egg sharing [21].…”

Section: Discussionmentioning

confidence: 61%

“…Finally, findings from this study suggest there is a need to reflect upon how 'donation' is currently understood, in particular how (potential) donors can engage with the donation process. It is then, that the services reliant upon donations, and the policies around donation of body parts, blood and tissue, can truly offer a "good" [23] service to both recipients and donors.…”

Section: Discussionmentioning

confidence: 99%

“…In Autumn 2011, the Nuffield Council of Bioethics discussed the use of limited NHS resources to pay the funeral costs of organ donors [22]. Others have considered the donor benefiting from their donation in some way, for example people registered as donors in the Netherlands are considered a priority if they require a donated organ in the future [23]. Many studies have explored the low donation rate in Singapore and the various 'incentives' considered, such as presumed consent for deceased donation [24], those who opt out of deceased donation are considered a lower priority if requiring an organ themselves [25], and donors receiving financial payment for their organs [26] suggesting the moral saying of not "giving to receive", may well be outdated.…”

Section: Donation In Contextmentioning

confidence: 99%

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Giving to receive? The right to donate in umbilical cord blood banking for stem cell therapies

2012

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Donation In Contextmentioning

confidence: 99%

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Giving to receive? The right to donate in umbilical cord blood banking for stem cell therapies

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“…Such a move, however, would not necessarily have widespread support [13] and it is also possible that reported increases are likely to be also due to other changes such as an increase in transplant coordinators or financial incentives [14]. Furthermore, ethical concerns relating to informed consent also remain [15,16]. …”

Section: Introductionmentioning

confidence: 99%

Attitudes of young adults from the UK towards organ donation and transplantation

2013

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BackgroundThis study examines the attitudes of young British adults towards donating their own organs and those of their family members.MethodsAn opportunity sample of 119 participants (65 female) completed an attitude questionnaire.ResultsMost participants were in favour of donation though substantially fewer had signed up to the organ donation register. A minority of participants was aware of the proposed opt-out system for donation.ConclusionsThe results from this study corroborate and extend previous work in that more participants were prepared to receive an organ than donate one. Knowing someone who had donated an organ was associated with a more positive attitude towards donation. Implications for policy are discussed.

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“…Debate has raged in The Netherlands about the advantages and disadvantages of the opt-in and opt-out systems [18]. …”

Section: Discussionmentioning

confidence: 99%

Remarkable changes in the choice of timing to discuss organ donation with the relatives of a patient: a study in 228 organ donations in 20 years

et al. 2011

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IntroductionWe studied whether the choice of timing of discussing organ donation for the first time with the relatives of a patient with catastrophic brain injury in The Netherlands has changed over time and explored its possible consequences. Second, we investigated how thorough the process of brain death determination was over time by studying the number of medical specialists involved. And we studied the possible influence of the Donor Register on the consent rate.MethodsWe performed a retrospective chart review of all effectuated brain dead organ donors between 1987 and 2009 in one Dutch university hospital with a large neurosurgical serving area.ResultsA total of 271 medical charts were collected, of which 228 brain dead patients were included. In the first period, organ donation was discussed for the first time after brain death determination (87%). In 13% of the cases, the issue of organ donation was raised before the first EEG. After 1998, we observed a shift in this practice. Discussing organ donation for the first time after brain death determination occurred in only 18% of the cases. In 58% of the cases, the issue of organ donation was discussed before the first EEG but after confirming the absence of all brain stem reflexes, and in 24% of the cases, the issue of organ donation was discussed after the prognosis was deemed catastrophic but before a neurologist or neurosurgeon assessed and determined the absence of all brain stem reflexes as required by the Dutch brain death determination protocol.ConclusionsThe phases in the process of brain death determination and the time at which organ donation is first discussed with relatives have changed over time. Possible causes of this change are the introduction of the Donor Register, the reintroduction of donation after circulatory death and other logistical factors. It is unclear whether the observed shift contributed to the high refusal rate in The Netherlands and the increase in family refusal in our hospital in the second studied period. Taking published literature on this subject into account, it is possible that this may have a counterproductive effect.

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The potential of legislation on organ donation to increase the supply of donor organs

Abstract: The scope for changing the Act and its impact on organ procurement is at best limited. Relying on legislation alone will possibly not bring much relief, whereas additional policy measures may be more successful.

Cited by 21 publications

References 32 publications

Giving to receive? The right to donate in umbilical cord blood banking for stem cell therapies

Giving to receive? The right to donate in umbilical cord blood banking for stem cell therapies

Attitudes of young adults from the UK towards organ donation and transplantation

Remarkable changes in the choice of timing to discuss organ donation with the relatives of a patient: a study in 228 organ donations in 20 years

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