Financial incentives to increase Canadian organ donation: quick fix or fallacy?
@article{Gill2014FinancialIT,
title={Financial incentives to increase Canadian organ donation: quick fix or fallacy?},
author={John S. Gill and Scott W. Klarenbach and Lianne Barnieh and Timothy Caulfield and Gregory A. Knoll and Adeera Levin and Edward Cole},
journal={American journal of kidney diseases : the official journal of the National Kidney Foundation},
year={2014},
volume={63 1},
pages={
133-40
}
}Unlike the United States, the potential to increase organ donation in Canada may be sufficient to meet the need for transplantation. However, there has been no national coordinated effort to increase organ donation. Strategies that do not involve payment for organs, such as investment in health care resources to support deceased donor organ donation and introduction of a remuneration framework for the work of deceased organ donation, should be prioritized for implementation. Financial…
Figures and Topics from this paper
23 Citations
Financial Incentives for Living Kidney Donors: Are They Necessary?
- EconomicsAmerican journal of kidney diseases : the official journal of the National Kidney Foundation
- 2015
It is concluded that current appeals to the life-saving necessity argument have yet to establish sufficient grounds to justify trials of incentives and that strategies compatible with the existing altruistic system may also increase the supply of kidneys and save lives otherwise lost to kidney failure.
Incentives and organ donation: what’s (really) legal in Canada?
- MedicineCanadian journal of kidney health and disease
- 2014
The time is right to rethink the potentially restrictive nature of Canada’s organ donation laws and examine the relevant law in order to clarify the legality of existing proposed incentive schemes.
Does Financial Compensation for Living Kidney Donation Change Willingness to Donate?
- MedicineAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
- 2015
Assessment of amounts of financial compensation that would generate motivation and an undue inducement to donate to family/friends or strangers suggests tolerance for, but little practical impact of, financial compensation.
Worldwide barriers to organ donation.
- Medicine, Political ScienceJAMA neurology
- 2015
An urgent need exists for a global standard on the definition of brain death and donation after death by cardiac criteria to better regulate organ donation and maximize transplantation rates.
Willingness of Directed Living Donors and Their Recipients to Participate in Kidney Paired Donation Programs
- Medicine, Political ScienceTransplantation
- 2015
Reimbursement for the costs of participation and improved efficiency of KPD (i.e., eliminating travel and reducing transplant times), but not cash payments, may increase participation of compatible donors and recipients in KPD.
Perspectives of transplant physicians and surgeons on reimbursement, compensation, and incentives for living kidney donors.
- Medicine, Political ScienceAmerican journal of kidney diseases : the official journal of the National Kidney Foundation
- 2014
Transplantation specialists believed that minimizing disincentives would support equity and justice in living kidney donation, and direct financial incentivization for living kidney donors was regarded by most as unjustified because of the potential moral consequences and uncertain feasibility.
The current status and future perspectives of organ donation in Japan: learning from the systems in other countries
- MedicineSurgery Today
- 2015
The revised Organ Transplant Law came into effect in Japan in July 2010 and the number of cadaveric organ donations has not increased as expected, and various factors that may help to improve the country’s low donation rate are explored.
Focus group study of public opinion about paying living kidney donors in Australia.
- Medicine, Political ScienceClinical journal of the American Society of Nephrology : CJASN
- 2015
The perceived threat to community values of human dignity, goodwill, and fairness suggests that there could be strong public resistance to any form of financial inducements for living kidney donors.
The Canadian Kidney Paired Donation Program: A National Program to Increase Living Donor Transplantation
- Medicine, Political ScienceTransplantation
- 2015
The national KPD program has helped maintain the volume of living kidney donor transplants in Canada over the past 5 years and serves as a model of inter-provincial collaboration to improve the delivery of health care to Canadians.
Ethical Issues in Live-Donor Reimbursement Program.
- Medicine, Political ScienceTransplantation proceedings
- 2016
References
SHOWING 1-10 OF 31 REFERENCES
Limiting Financial Disincentives in Live Organ Donation: A Rational Solution to the Kidney Shortage
- Medicine, Political ScienceAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
- 2006
This proposal offsets donor risk via a package of specific benefits to minimize hazard and ensure donor interests are protected after as well as before nephrectomy, consistent with NOTA and implementable in the United States without altering current legal statutes.
Financial incentives for cadaver organ donation: an ethical reappraisal1
- Medicine, Political ScienceTransplantation
- 2002
The panel concluded that the concept of the organ as a gift could be sustained by a funeral reimbursement or charitable contribution that conveyed the appreciation of society to the family for their donation.
In defense of a regulated system of compensation for living donation.
- MedicineCurrent opinion in organ transplantation
- 2008
The potential advantages of a regulated system of compensation for donation far outweigh any potential disadvantages and it is time to advocate for a change in the law so that trials can be done.
Deceased Organ Donation in Canada: An Opportunity to Heal a Fractured System
- Political Science, MedicineAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
- 2008
The current status of deceased organ donation is reviewed, issues contributing to the current stagnation in donation are highlighted, and changes that will enable success in a new Canadian system are identified.
Preliminary Marked Increase in the National Organ Donation Rate in Israel Following Implementation of a New Organ Transplantation Law
- Medicine, Political ScienceAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
- 2013
The new laws have significantly increased both deceased and living organ donation while sharply decreasing transplant tourism, and the preliminary impact of the gradual introduction and implementation of these laws has been witnessed in 2011.
Attitudes toward strategies to increase organ donation: views of the general public and health professionals.
- Medicine, Political ScienceClinical journal of the American Society of Nephrology : CJASN
- 2012
Overall, reimbursement of funeral expenses for deceased donors and a tax break for living donors were the most acceptable.
Incentives for Organ Donation: Proposed Standards for an Internationally Acceptable System
- Medicine, Political ScienceAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
- 2012
It is believed that if systems based on guidelines for an acceptable system of incentives for donation were developed, harms would be no greater than those to today's conventional donors.
The prohibition of kidney sales and organ markets should remain.
- MedicineCurrent opinion in organ transplantation
- 2008
Commercialization of living kidney donation does not serve the interests of the donors, endangers the health of recipients, and undermines the healthy development of the international transplant endeavor.
Joining efforts in tackling the organ shortage: the Donor Action experience.
- Medicine, Political ScienceClinical transplants
- 2002
Implementation of improvement measures in 10 countries have shown an immediate overall increase of donation rates of 59% after 1 year and a sustained, even growing effect on referral and donation rates in those countries with sufficient follow-up, proving a permanent impact of DA's methodology.
Payment for Living Donor (Vendor) Kidneys: A Cost‐Effectiveness Analysis
- Medicine, Political ScienceAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
- 2004
A Markov model was developed to calculate the expected average cost and outcome benefits of increasing the organ supply and reducing waiting times by adding paid LURD organs to the available pool.
