Options for Increasing Organ Donation: The Potential Role of Financial Incentives, Standardized Hospital Procedures, and Public Education to Promote Family Discussion
Gortmaker, Steven L.
Evanisko, Michael J.
Milbank Quarterly. 1995; 73(3): 463-479.
The idea that financial incentives or any other type of policy "quick fix" can bring the organ shortage to an end is alluring, but in the end the organ transplantation community is left with a lot of hard work to do. Most important is to standardize the procedures that are used by hospitals to identify potential organ donors, to declare brain death, and to approach families with a donation request. Institutional change is difficult, but recent evaluations show that the payoff in increased donation rates is well worth the effort. As hospitals improve their procedures, public education can help prepare families to deal with the crisis of making a decision about donation. This year alone, up to 15,000 families may well be confronted with that decision. Unfortunately, only a small minority will have previously talked to their loved ones to learn their wishes about donation. Without knowing those wishes, many of these families will be likely to hold back. On the other hand, if they have discussed organ donation and know that their loved one wanted to be a donor, virtually all families, no matter what their personal views might be, will be willing to honor that request.
Advance Directives; Alternatives; Altruism; Autonomy; Brain; Brain Death; Cadavers; Coercion; Communication; Consent; Death; Donor Cards; Donors; Education; Empirical Research; Hospitals; Incentives; Institutional Policies; Motivation; Organ Donation; Organ Donors; Organ Transplantation; Public Opinion; Remuneration; Research; Scarcity; Socioeconomic Factors; Survey; Third Party Consent; Tissue Donation; Transplantation;
Showing items related by title, author, creator and subject.
Options for Increasing Organ Donation: The Potential Role of Financial Incentives, Standardized Hospital Procedures, and Public Education to Promote Family Discussion Dejong, William; Drachman, Jessica; Gortmaker, Steven L. (1995)
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