Should an individual signed up to the Organ Donor Register be given priority if they subsequently require a transplant?
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Should an individual signed up to the Organ Donor Register be given priority if they subsequently require a transplant?
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Recent proposals by the NHS Blood and Transplant include a system where those individuals who have signed up to the Organ Donor Register will be given priority should they subsequently require a tran
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Forums » Open clinical » General clinical » Should an individual signed up to the Organ Donor Register be given priority if they subsequently require a transplant?
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Should an individual signed up to the Organ Donor Register be given priority if they subsequently require a transplant?
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Should an individual signed up to the Organ Donor Register be given priority if they subsequently require a transplant?
posted at 30/7/2012 4:41 PM BST
on bmj.com
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Posts: 5
First: 30/7/2012 Last: 2/8/2012 |
Recent proposals by the NHS Blood and Transplant include a system where those individuals who have signed up to the Organ Donor Register will be given priority should they subsequently require a transplant. A similar system was implemented in Israel in 2008, in order to boost the number of organ donors on their national register. However, the system used in Israel not only gives priority to registered organ donors, but close family members of organ donors. The system aims to ensure that “patients requiring an urgent transplant because of their serious condition will continue to have priority, regardless of the new points-scheme”. However, if there is a situation where two individuals are equally suitable for a donated organ, the priority system will come into play. Concerns arise that implementing this system in the UK goes against one of the main principle of the NHS – “that patients are treated on the sole basis of need.” Should this system be implemented within the UK? Should close relatives of a donor also be given priority treatment? What dangers could we face if the system moves away from allocating organs based solely on clinical need? |
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Re: Should an individual signed up to the Organ Donor Register be given priority if they subsequently require a transplant?
posted at 1/8/2012 12:06 PM BST
on bmj.com
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Posts: 43
First: 10/2/2010 Last: 5/11/2012 |
A big question, perhaps the biggest, which needs asking with regards to this idea is: does such incentivisation work? Israel only implemented this new law in January 2010, in response to a very low rate of organ utilisation (only 10% of the population being registered donors, for one thing), and early reports indicate that the new laws may have actually decreased organ transplantation, because of other, additional obstacles that were imposed to transplantation alongside this incentivisation: http://www.bmj.com/content/342/bmj.d332?view=long&pmid=21245107
So there's no evidence that this works, and no prospect of gaining evidence that it would work from Israel's experiment with it. We might do better to look at a system which has worked, such as that in Spain... or even the financial incentivisation implemented in Iran. |
Forums » Open clinical » General clinical » Should an individual signed up to the Organ Donor Register be given priority if they subsequently require a transplant?
