Would you sell a kidney in a regulated kidney market? Results of an exploratory study
| Autor: | Annette Rid, Lucas Bachmann, Nikola Biller-Andorno, Vincent G. Wettstein |
|---|---|
| Přispěvatelé: | University of Zurich |
| Rok vydání: | 2009 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice Tissue and Organ Procurement Health (social science) Waiting Lists Exploratory research 610 Medicine & health Kidney 170 Ethics Young Adult Arts and Humanities (miscellaneous) medicine Humans Young adult Marketing Socioeconomic status health care economics and organizations urogenital system business.industry Health Policy Commerce Regulated market Disposition 2719 Health Policy Tissue Donors 2910 Issues Ethics and Legal Aspects Issues ethics and legal aspects medicine.anatomical_structure Socioeconomic Factors 1201 Arts and Humanities (miscellaneous) 10222 Institute of Biomedical Ethics and History of Medicine Female Survey instrument 10029 Clinic and Policlinic for Internal Medicine 10001 Center for Ethics 3306 Health (social science) business Switzerland Social status |
| Zdroj: | Journal of Medical Ethics. 35:558-564 |
| ISSN: | 0306-6800 |
| Popis: | Background: It is often claimed that a regulated kidney market would significantly reduce the kidney shortage, thus saving or improving many lives. Data are lacking, however, on how many people would consider selling a kidney in such a market. Methods: A survey instrument, developed to assess behavioural dispositions to and attitudes about a hypothetical regulated kidney market, was given to Swiss third-year medical students. Results: Respondents’ (n = 178) median age was 23 years. Their socioeconomic status was high or middle (94.6%). 48 (27%) considered selling a kidney in a regulated kidney market, of whom 31 (66%) would sell only to overcome a particularly difficult financial situation. High social status and male gender was the strongest predictor of a disposition to sell. 32 of all respondents (18%) supported legalising a regulated kidney market. This attitude was not associated with a disposition to sell a kidney. 5 respondents (2.8%) endorsed a market and considered providing a kidney to a stranger if and only if paid. 4 of those 5 would sell only under financial duress. Conclusions: Current understanding of a regulated kidney market is insufficient. It is unclear whether a regulated market would result in a net gain of kidneys. Most possible kidney vendors would only sell in a particularly difficult financial situation, raising concerns about the validity of consent and inequities in the provision of organs. Further empirical and normative analysis of these issues is required. Any calls to implement and evaluate a regulated kidney market in pilot studies are therefore premature. |
| Databáze: | OpenAIRE |
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