The impact of country reimbursement programmes on living kidney donations

Siddique, Abu Bakkar; Apte, Vandana; Fry‐Revere, Sigrid; Jin, Yanhong; Koizumi, Naoru

doi:10.1136/bmjgh-2020-002596

Cited by 13 publications

(6 citation statements)

References 37 publications

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“…Nevertheless, donors still receive no benefits or social support in Korea. Reimbursement policies for donors may be a practical approach to alleviate kidney shortages [ 25 ]. Recent policies for reimbursement of the economic consequences incurred by donors have emerged mainly in Western countries, including the United States, United Kingdom, and Canada, rather than in Asian countries [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Perception regarding live kidney donation in the general population of South Korea

Kang

Lee²,

Park³

et al. 2022

PLoS ONE

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This study aimed to know how the general population recognizes live kidney donation in Korea. Participants were randomly selected from the general population after proportional allocation by region, sex, and age. Selected participants received a questionnaire that included demographic information, socioeconomic and marital statuses, prior recognition of live donor kidney transplantation, expected changes after donation, and the need for support after donor nephrectomy. Among the 1,000 participants from the web-based survey, 83.8% answered they fully understood living donor kidney transplantation, 81.1% knew about them, and 51.1% were willing to donate. Various complications after nephrectomy and deterioration in health after donation were the most significant reasons for those reluctant to donate. Most agreed that the government should provide social and economic support to living kidney donors, especially after exposure to the description of donor nephrectomy. Financial support, including surgery and regular medical check-up costs, was the most preferred government support. The Korean general population seemed aware of the value and safety of kidney donation, although only half of them were willing to donate due to concerns about possible complications. Most participants agreed on social and economic support for living kidney donors, especially surgery-related costs.

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Section: Discussionmentioning

confidence: 99%

Perception regarding live kidney donation in the general population of South Korea

Kang

Lee²,

Park³

et al. 2022

PLoS ONE

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“… 6 , 27 The findings of this study reiterate the ongoing financial concerns among potential donors despite numerous initiatives to combat this issue. Siddique et al 18 looked at 23 countries and found that reimbursement programs increased donation numbers. However, it is possible that existing reimbursement strategies may be further improved.…”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8][9] Numerous barriers exist in the donation process, including health-related concerns, insufficient knowledge about kidney transplant, social circumstances, financial ramifications, and a rigorous screening process. [10][11][12] While many countries around the world have instituted more comprehensive remuneration strategies leading to increased LDKTs, [13][14][15][16][17][18] factors such as gender, culture, or education were not taken into account. There is little research on what actually matters most to potential donors and what supports assist in proceeding with donation.…”

Section: Introductionmentioning

confidence: 99%

Motivators and Barriers to Living Donor Kidney Transplant as Perceived by Past and Potential Donors

Zazoulina

Khehra

Gill

2022

Can J Kidney Health Dis

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Background: For patients with end-stage kidney disease, living donor kidney transplant is the treatment of choice due to improved patient outcomes, longer graft survival, and reduced expenses compared with other forms of renal replacement therapy. However, organ shortage remains a challenge, and living donation rates have stagnated in recent years, particularly among men. Objective: To understand the motivators and barriers for past and potential living kidney transplant donors and inform policy and practice changes that support donors in the future. Methods: Past and potential living donors in British Columbia, Canada in the preceding 2 years were surveyed. Motivators and barriers were examined in 5 categories: family pressures and domestic responsibilities, finances, the recovery process, complications, and the transplant evaluation process. Participants ranked statements in each category on a Likert-type scale. Results: A total of 138 responses were collected. In both women and men, policies that address family and domestic responsibilities and finances were most strongly identified as motivators to donate. A large proportion of women and men reported that guaranteed job security (47% women and 38% of men), paid time off (51% of women and 42% of men), reimbursement of lost wages (49% of women and 38% of men), and protections to guarantee no impact on future insurability (62% of women and 52% of men) were significant motivators to donate. Timely and efficient medical evaluation was considered to be an important motivator for donation, with 52% of men and 43% of women reporting support for a “fast-track” option for evaluation to allow for a more rapid evaluation process. Median barrier and motivator scores were similar between women and men. Conclusion: Policies to decrease financial burden, ensure job security, improve childcare support, and offer a fast-track medical evaluation may motivate potential living kidney donors, irrespective of gender.

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“…The debate on increasing organ donation rates by changing policies from an opt-in system (termed ‘explicit consent’) to an opt-out system (termed ‘presumed or deemed consent’) for organ donation is still ongoing. Previous studies have demonstrated that adopting the policy of presumed consent (‘opt-out’) rather than explicit consent (‘opt-in’),6–9 higher socioeconomic status within society (eg, high education level),9–12 high availability of the required infrastructure for transplantation services9 13 and the increased gross domestic product (GDP) per capita and investment in healthcare services9 10 have an influence on successfully realised organ transplantations. While various factors are known to affect organ donation rates, none of these aforementioned studies has investigated the independence of the influence of socioeconomic factors on deceased organ donation rates.…”

Section: Introductionmentioning

confidence: 99%

Factors influencing deceased organ donation rates in OECD countries: a panel data analysis

Qu,

Oedingen,

Bartling

et al. 2024

BMJ Open

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ObjectivesThis study aims to investigate factors with a significant influence on deceased organ donation rates in Organisation for Economic Co-operation and Development (OECD) countries and determine their relative importance. It seeks to provide the necessary data to facilitate the development of more efficient strategies for improving deceased organ donation rates.DesignRetrospective study.SettingPublicly available secondary annual data.ParticipantsThe study includes 36 OECD countries as panel members for data analysis.Outcome measuresMultivariable panel data regression analysis was employed, encompassing data from 2010 to 2018 for all investigated variables in the included countries.ResultsThe following variables had a significant influence on deceased organ donation rates: ‘opt-in’ system (β=−4.734, p<0.001, ref: ‘opt-out’ system), only donation after brain death (DBD) donors allowed (β=−4.049, p=0.002, ref: both DBD and donation after circulatory death (DCD) donors allowed), number of hospital beds per million population (pmp) (β=0.002, p<0.001), total healthcare employment pmp (β=−0.00012, p=0.012), World Giving Index (β=0.124, p=0.008), total tax revenue as a percentage of gross domestic product (β=0.312, p=0.009) and percentage of population aged ≥65 years (β=0.801, p<0.001) as well as high education population in percentage (β=0.118, p=0.017).ConclusionsCompared with the promotion of socioeconomic factors with a positive significant impact on deceased organ donation rates, the following policies have been shown to significantly increase rates of deceased organ donation, which could be further actively promoted: the adoption of an ‘opt-out’ system with presumed consent for deceased organ donation and the legal authorisation of both DBD and DCD for transplantation.

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The impact of country reimbursement programmes on living kidney donations

Cited by 13 publications

References 37 publications

Perception regarding live kidney donation in the general population of South Korea

Perception regarding live kidney donation in the general population of South Korea

Motivators and Barriers to Living Donor Kidney Transplant as Perceived by Past and Potential Donors

Factors influencing deceased organ donation rates in OECD countries: a panel data analysis

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