Optimizing organ donation in Portugal

Teixeira, José Fernando; Cruz, Jorge; Fiúza, Carolina; Araújo, Rui; Braga, Allef Francisco Lira da Rocha

doi:10.1016/s0041-1345(99)00471-6

Cited by 1 publication

(4 citation statements)

References 3 publications

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“…In Belgium, only 2% of the population had opted‐out of organ donation 10 years after the system was introduced: in that country at least, the proportion of the population that significantly dissents to deceased donor organ procurement appears to be very small 22 . Similar results have been found in other countries operating opt‐out systems 15,25 . These findings cannot be extrapolated straightforwardly to New Zealand, where opposition to organ removal would more than likely be greater due to cultural and religious factors, particularly the spiritual beliefs of Māori and Pacific people 11 .…”

Section: Two Policy Optionsmentioning

confidence: 85%

“…22 Similar results have been found in other countries operating opt-out systems. 15,25 These findings cannot be extrapolated straightforwardly to New Zealand, where opposition to organ removal would more than likely be greater due to cultural and religious factors, particularly the spiritual beliefs of Māori and Pacific people. 11 But it nevertheless seems likely that rates of significant dissent would be substantially lower than rates of non-consent.…”

Section: Deceased Neither Consents Nor Significantly Dissents Transplmentioning

confidence: 95%

“…Opt-out systems have typically been well-accepted by the public and the medical profession, 22 and in scientific comparisons have generally been shown to increase organ availability, even after adjustment for potential confounders such as public support for organ donation. 15,[21][22][23][24][25][26][27] In some cases, the apparent effects of policy change are dramatic. In Belgium, the organ donation rate rose by 55% within five years of the introduction of an opt-out system, 28 whereas in Denmark, it fell by 50% following a move from optout to opt-in.…”

Section: Deceased Neither Consents Nor Significantly Dissents Transplmentioning

confidence: 99%

“…Opt‐out systems have typically been well‐accepted by the public and the medical profession, 22 and in scientific comparisons have generally been shown to increase organ availability, even after adjustment for potential confounders such as public support for organ donation 15,21–27 . In some cases, the apparent effects of policy change are dramatic.…”

Section: Two Policy Optionsmentioning

confidence: 99%

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Absence of significant dissent should be sufficient for deceased donor organ procurement in New Zealand

Douglas

2009

Australian and New Zealand Journal of Public Health

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Objective: New Zealand's organ donation rates are among the lowest in the OECD. In a bid to increase organ availability, the New Zealand Human Tissue Act 2008 introduces new consent arrangements for deceased donor organ procurement. This article assesses these new arrangements and presents the case for further reform. Approach: Our assessment and arguments are based on philosophical analysis informed by empirical data on the effectiveness of alternative consent systems. We: 1) Identify widely held ethical judgments about policies and practices relevant to organ donation (e.g. those relating to coronial post‐mortems), 2) Assess the implications of these judgments for the Human Tissue Act and the assumptions that underpin it, and 3) Derive policy recommendations that are consistent with the judgments. Conclusion: The Human Tissue Act 2008 retains a strong consent requirement for organ procurement: organs may not be transplanted unless either the deceased or the family consents. We argue that organ availability could and should be increased by shifting from a model that requires consent to one that requires the absence of significant dissent. Implications: We recommend that New Zealand adopt either 1) an organ donation system similar to the existing system for ordering coronial post‐mortems, or 2) a variant of the ‘opt‐out’ system already in place in several other countries.

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Section: Two Policy Optionsmentioning

confidence: 85%

Section: Deceased Neither Consents Nor Significantly Dissents Transplmentioning

confidence: 95%

Section: Deceased Neither Consents Nor Significantly Dissents Transplmentioning

confidence: 99%

Section: Two Policy Optionsmentioning

confidence: 99%

See 2 more Smart Citations

Absence of significant dissent should be sufficient for deceased donor organ procurement in New Zealand

Douglas

2009

Australian and New Zealand Journal of Public Health

View full text Add to dashboard Cite

show abstract

Optimizing organ donation in Portugal

Cited by 1 publication

References 3 publications

Absence of significant dissent should be sufficient for deceased donor organ procurement in New Zealand

Absence of significant dissent should be sufficient for deceased donor organ procurement in New Zealand

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