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Attitudes toward reciprocity systems for organ donation and allocation for transplantation.

https://arctichealth.org/en/permalink/ahliterature112830
Source
J Health Polit Policy Law. 2013 Oct;38(5):957-86
Publication Type
Article
Date
Oct-2013
Author
Jacquelyn A Burkell
Jennifer A Chandler
Sam D Shemie
Author Affiliation
University of Western Ontario.
Source
J Health Polit Policy Law. 2013 Oct;38(5):957-86
Date
Oct-2013
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Attitude to Health
Canada
Data Collection
Female
Focus Groups
Humans
Male
Middle Aged
Organ Transplantation
Registries
Resource Allocation - methods
Tissue Donors - supply & distribution
Tissue and Organ Procurement
Young Adult
Abstract
Many of those who support organ donation do not register to become organ donors. The use of reciprocity systems, under which some degree of priority is offered to registered donors who require an organ transplant, is one suggestion for increasing registration rates. This article uses a combination of survey and focus group methodologies to explore the reaction of Canadians to a reciprocity proposal. Our results suggest that the response is mixed. Participants are more convinced of the efficacy than they are of the fairness of a reciprocity system. Those more positive about donation (decided donors and those leaning toward donation) rate the system more positively. Although there is general endorsement of the notion that those who wish to receive should be prepared to give (the Golden Rule), this does not translate into universal support for a reciprocity system. In discussions of efficacy, decided donors focus on the positive impact of reciprocity, whereas undecided donors also reflect on the limits of reciprocity for promoting registration. The results demonstrate divided support for reciprocity systems in the Canadian context, with perceptions of efficacy at the cost of fairness. Further studies are warranted prior to considering a reciprocity system in Canada.
PubMed ID
23794739 View in PubMed
Less detail

Priority systems in the allocation of organs for transplant: should we reward those who have previously agreed to donate?

https://arctichealth.org/en/permalink/ahliterature167006
Source
Health Law J. 2005;13:99-138
Publication Type
Article
Date
2005