Department of Internal Medicine, Erasmus MC, University Medical Center Rotterdam, the Netherlands.
Am J Transplant. 2010 Nov;10(11):2488-92. doi: 10.1111/j.1600-6143.2010.03278.x.
Due to lengthening waiting lists for kidney transplantation, a debate has emerged as to whether financial incentives should be used to stimulate living kidney donation. In recent surveys among the general public approximately 25% was in favor of financial incentives while the majority was opposed or undecided. In the present study, we investigated the opinion of living kidney donors regarding financial incentives for living kidney donation. We asked 250 living kidney donors whether they, in retrospect, would have wanted a financial reward for their donation. We also investigated whether they were in favor of using financial incentives in a government-controlled system to stimulate living anonymous donation. Additionally, the type of incentive deemed most appropriate was also investigated. In general almost half (46%) of the study population were positive toward introducing financial incentives for living donors. The majority (78%) was not in favor of any kind of reward for themselves as they had donated out of love for the recipient or out of altruistic principles. Remarkably, 60% of the donors were in favor of a financial incentive for individuals donating anonymously. A reduced premium or free health insurance was the preferred incentive.
由于肾脏移植的等候名单延长，人们对于是否应该使用经济激励来刺激活体肾脏捐献产生了争议。在最近的公众调查中，约有 25%的人赞成经济激励，而大多数人则表示反对或持观望态度。在本研究中，我们调查了活体肾脏捐献者对活体肾脏捐献经济激励的看法。我们询问了 250 名活体肾脏捐献者，他们是否会回顾过去为自己的捐献获得经济奖励。我们还调查了他们是否赞成在政府控制的系统中使用经济激励来刺激匿名活体捐献。此外，还调查了他们认为最适合的激励类型。一般来说，近一半（46%）的研究对象对引入活体供者的经济激励持积极态度。大多数（78%）人不赞成给自己任何形式的奖励，因为他们出于对受赠者的爱或利他主义原则而捐献。值得注意的是，60%的捐献者赞成对匿名捐献者给予经济激励。降低保费或免费健康保险是首选的激励方式。
