Brain Death in Asia: Do Public Views Still Influence Organ Donation in the 21st Century?
Autor: | Clin K Y Lai, Charlene Yeo, Jean C. J. Liu, Vui Kian Ho, Suhitharan Thankavelautham, Christopher W Liu, Boyu Lu Zhao |
---|---|
Rok vydání: | 2019 |
Předmět: |
Brain Death
Transplantation medicine.medical_specialty Asia Tissue and Organ Procurement Cross-sectional study business.industry Legislation Resistance (psychoanalysis) 030230 surgery Heart Arrest 03 medical and health sciences Cross-Sectional Studies 0302 clinical medicine Surveys and Questionnaires medicine Humans 030211 gastroenterology & hepatology Organ donation Psychiatry business |
Zdroj: | Transplantation. 103:755-763 |
ISSN: | 0041-1337 |
Popis: | Background Historically, brain death legislation was adopted in Asia at a much later stage than it was in the West, with heated public debates surrounding these laws. In this study, we investigated whether the poor acceptance of brain death continues to the present day, focusing on the following: (1) what the Asian public understands brain death to be; (2) how views toward brain death are compared with those of cardiac death; and (3) the extent to which brain death perception contributes to the low rate of deceased organ donation that has been observed amongst Asians. Methods Using a door-to-door sampling strategy, we recruited 622 residents in Singapore between September 2016 and July 2017. Results Our results suggest that resistance toward brain death persists, with the majority of respondents equating this as a bleak outcome but not as death. Correspondingly, they considered cardiac death a better indicator of death and were more fearful of being alive during organ donation. In turn, these views predicted a decreased willingness to donate either their own or their family members' organs. Conclusions Taken together, our results suggest that views of brain death continue to hamper organ donation, and are seemingly resistant to both time and legislation. |
Databáze: | OpenAIRE |
Externí odkaz: |