Scripps Center for Organ and Cell Transplantation, Scripps Clinic/Green Hospital, La Jolla, CA.
Am J Transplant. 2015 May;15(5):1180-6. doi: 10.1111/ajt.13234. Epub 2015 Mar 31.
New approaches to address the kidney scarcity in the United States are urgently needed. The greatest potential source of kidneys is from living donors. Proposals to offer financial incentives to increase living kidney donation rates remain highly controversial. Despite repeated calls for a pilot study to assess the impact of financial compensation on living kidney donation rates, many fear that financial incentives will exploit vulnerable individuals and cast the field of transplantation in a negative public light, ultimately reducing donation rates. This paper provides an ethical justification for conducting a pilot study of a federally regulated approach to providing financial incentives to living kidney donors, with the goal of assessing donors' perceptions.
美国迫切需要新的方法来解决肾脏短缺问题。肾脏的最大潜在来源是活体捐赠者。提供经济激励以提高活体肾脏捐赠率的提议仍然存在很大争议。尽管一再呼吁进行一项试点研究，以评估经济补偿对活体肾脏捐赠率的影响，但许多人担心经济激励措施将剥削弱势群体，并使移植领域受到负面公众关注，最终导致捐赠率下降。本文为进行一项联邦监管的试点研究提供了伦理辩护，以提供经济激励给活体肾脏捐赠者，目的是评估捐赠者的看法。
