Promoting organ donation registration with the priority incentive: Israeli transplantation surgeons' and other medical practitioners' views and ethical concerns
Autor: | Naama Appel-Doron, Gil Siegal, Gitit Bar‐On, Nurit Guttman |
---|---|
Rok vydání: | 2017 |
Předmět: |
Male
Health (social science) Tissue and Organ Procurement Attitude of Health Personnel Medical procedure media_common.quotation_subject Nurses Context (language use) Political science Physicians Humans Organ donation Registries Israel Reciprocity (cultural anthropology) Qualitative Research media_common Surgeons Motivation business.industry Health Policy Public relations Transplantation Philosophy Incentive Donation Female business Autonomy |
Zdroj: | Bioethics. 34(5) |
ISSN: | 1467-8519 |
Popis: | Because the number of organs available for transplantation does not meet the needs of potential recipients, some have proposed that a potentially effective way to increase registration is to offer a self-benefit incentive that grants a 'preferred status' or some degree of prioritization to those who register as potential donors, in case they might need organs. This proposal has elicited an ethical debate on the appropriateness of such a benefit in the context of a life-saving medical procedure. In this paper we review arguments and ethical concerns raised by scholars, and studies of views of members of the public regarding the prioritization incentive system. We also report on our study of the views of those involved in organ transplant and of other medical professionals in Israel, as over half a decade ago Israel implemented a prioritization incentive system. Bioethicists propose that key stakeholders' views can provide additional arguments and perspectives on controversial issues. Proponents justify the prioritization incentive drawing mainly on arguments related to its potential effectiveness, reciprocity and fairness. Opponents point to the fact that registering is not binding and not an actual donation, and raise concerns regarding equity, autonomy and gaming the system. Ethical concerns raised by the practitioners in the study were examined in light of scholars' arguments and actual registration and donation data. Practitioners involved in transplantation raised ethical concerns corresponding to those raised by scholars as well as additional concerns. They also challenged proponents' assumptions regarding the utility of the incentive system from their own experience and argued that proponents obscure the meaning of reciprocity. |
Databáze: | OpenAIRE |
Externí odkaz: |