Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
Clin J Am Soc Nephrol. 2012 Dec;7(12):1956-63. doi: 10.2215/CJN.04100412. Epub 2012 Sep 27.
The acceptability of financial incentives for organ donation is contentious. This study sought to determine (1) the acceptability of expense reimbursement or financial incentives by the general public, health professionals involved with organ donation and transplantation, and those with or affected by kidney disease and (2) for the public, whether financial incentives would alter their willingness to consider donation.
DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Web-based survey administered to members of the Canadian public, health professionals, and people with or affected by kidney disease asking questions regarding acceptability of strategies to increase living and deceased kidney donation and willingness to donate a kidney under various financial incentives.
Responses were collected from 2004 members of the Canadian public October 11-18, 2011; responses from health professionals (n=339) and people with or affected by kidney disease (n=268) were collected during a 4-week period commencing October 11, 2011. Acceptability of one or more financial incentives to increase deceased and living donation was noted in >70% and 40% of all groups, respectively. Support for monetary payment for living donors was 45%, 14%, and 27% for the public, health professionals, and people with or affected by kidney disease, respectively. Overall, reimbursement of funeral expenses for deceased donors and a tax break for living donors were the most acceptable.
The general public views regulated financial incentives for living and deceased donation to be acceptable. Future research needs to examine the impact of financial incentives on rates of deceased and living donors.
对于器官捐赠的经济激励措施的可接受性存在争议。本研究旨在确定：（1）普通公众、参与器官捐赠和移植的卫生专业人员以及患有或受肾病影响的人对报销费用或经济激励的可接受程度；（2）对于公众而言，经济激励是否会改变他们考虑捐赠的意愿。
设计、地点、参与者和测量：对加拿大公众、卫生专业人员以及患有或受肾病影响的人进行了基于网络的调查，询问他们对增加活体和已故肾脏捐赠的策略的可接受程度，以及在各种经济激励措施下愿意捐献肾脏的情况。
2011 年 10 月 11 日至 18 日，从 2004 名加拿大公众中收集了回复；在 2011 年 10 月 11 日开始的 4 周内，从卫生专业人员（n=339）和患有或受肾病影响的人（n=268）中收集了回复。超过 70%和 40%的受访者分别表示可接受一种或多种经济激励措施来增加已故和活体捐赠。公众、卫生专业人员和患有或受肾病影响的人分别有 45%、14%和 27%支持向活体捐赠者支付金钱报酬。总的来说，报销已故捐赠者的丧葬费和对活体捐赠者的税收减免最受欢迎。
普通公众认为对活体和已故捐赠的有监管的经济激励是可以接受的。未来的研究需要检验经济激励对已故和活体捐赠者比例的影响。
