Kim Sanghoon, Sin Seon Min, Lee Hyun Yong, Park Ui Jun, Kim Hyoung Tae, Roh Young-Nam
Division of Transplantation and Vascular Surgery, Department of Surgery, Keimyung University, Dongsan Medical Center, Daegu, Republic of Korea.
Division of Transplantation and Vascular Surgery, Department of Surgery, Keimyung University, Dongsan Medical Center, Daegu, Republic of Korea.
Transplant Proc. 2019 Oct;51(8):2508-2513. doi: 10.1016/j.transproceed.2019.04.077. Epub 2019 Aug 28.
Financial incentives for deceased organ donation are associated with many controversial ethical issues. This study examines the perspectives of medical students and staff members on financial incentives for the families of brain-dead organ donors.
A structured survey form was used between December 7, 2017 and January 28, 2018 to elicit opinions on financial incentives for the families of brain-dead organ donors. Forty-three medical staff members and 81 medical students participated in the survey voluntarily. The opinions on the financial incentive system and the relationship between willingness to give information about organ donation to families and a financial incentive system were assessed.
The majority of the participants (81.4%) had positive thoughts on organ donation. More than half of the participants (60.5%) thought that the financial incentive system did not erode the ethical purity of organ donation. As charge doctors, most respondents (84.6%) were willing to give information about organ donation to family members in the presence of financial incentives. However, the percentage decreased significantly to 60.5% when financial incentive was no longer factored into consideration (P < .001).
The study population is small, and the participants are not representative of the general population.
The opinions of medical students and medical staff on financial incentives for deceased organ donation were generally positive. Financial incentives proved to be a potential influencing factor as an option of organ donation to be given to families.
对已故者器官捐赠给予经济激励涉及诸多有争议的伦理问题。本研究调查了医学生和工作人员对给予脑死亡器官捐赠者家属经济激励的看法。
在2017年12月7日至2018年1月28日期间，使用结构化调查问卷来征集对给予脑死亡器官捐赠者家属经济激励的意见。43名医务人员和81名医学生自愿参与了调查。评估了对经济激励制度的看法以及向家属提供器官捐赠信息的意愿与经济激励制度之间的关系。
大多数参与者（81.4%）对器官捐赠持积极态度。超过一半的参与者（60.5%）认为经济激励制度并未侵蚀器官捐赠的伦理纯洁性。作为主治医生，大多数受访者（84.6%）愿意在有经济激励的情况下向家属提供器官捐赠信息。然而，当不再考虑经济激励因素时，这一比例显著降至60.5%（P < .001）。
研究人群规模较小，且参与者不具有一般人群的代表性。
医学生和医务人员对已故者器官捐赠经济激励的看法总体上是积极的。经济激励被证明是作为向家属提供器官捐赠选择的一个潜在影响因素。
