Journal article
Opinions of Health Care Personnel Regarding Disincentives and Incentives for Living Kidney Donation at a Single Center
Transplantation proceedings, Vol.50(10), pp.3053-3058
12/2018
DOI: 10.1016/j.transproceed.2018.06.008
PMID: 30577165
Abstract
Transplant societies continue to actively concentrate on increasing rates of living kidney donation (LKD) to bridge the gap between individuals awaiting transplantation and the number of kidneys available. A widely discussed strategy to increase living donation rates is the provision of incentives and removal of disincentives. Though opinions of the public regarding this strategy have been studied, the opinions of health care providers, including younger professionals, are less clear. We studied the opinions of medical students and other health care providers on strategies to increase LKD to determine if opinions were different among those < 25 or ≥ 25 years of age.
A simple cross-sectional survey was conducted at an academic medical center. Participants included medical students and employees in Internal Medicine, General Surgery, and the Organ Transplantation Center. Pearson's χ2 and Fisher's exact test were conducted on the responses regarding disincentives and incentives to determine whether opinions differed based on age.
Six hundred and twenty-four participants completed the survey. There was no statistical difference in opinions between groups on reimbursing transportation costs, loss of wages, or childcare costs, but those aged ≥ 25 were more agreeable with covering food/lodging costs compared to those < 25 (96.5% vs 90.7%, P = .009). Respondents < 25 years old were more willing to donate a kidney for a financial incentive (P = .0002) accepting a median amount of $25,000.
Health care personnel broadly support removing financial disincentives for living kidney donation, and those ≥ 25 were more in favor of covering food/lodging costs compared to those < 25. Those < 25 years old were more likely to accept financial incentives towards donating their kidney compared to those ≥ 25 years.
•Health care personnel < 25 and ≥ 25 years of age support the removal of disincentives for organ donors.•Both groups opined that it is unethical to offer financial incentives to living donors.•When asked whether financial incentives for organ donors were ethical, 48.7% of those aged < 25 years and 36.6% of those aged ≥ 25 years were unsure.•Respondents aged < 25 years were more willing to donate a kidney if they were offered money.
Details
- Title: Subtitle
- Opinions of Health Care Personnel Regarding Disincentives and Incentives for Living Kidney Donation at a Single Center
- Creators
- M.T Story - Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, IAP.P Ten Eyck - Institute for Clinical and Translational Science, University of Iowa, Iowa City, IAS Kuppachi - Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- Transplantation proceedings, Vol.50(10), pp.3053-3058
- Publisher
- Elsevier Inc
- DOI
- 10.1016/j.transproceed.2018.06.008
- PMID
- 30577165
- ISSN
- 0041-1345
- eISSN
- 1873-2623
- Language
- English
- Date published
- 12/2018
- Academic Unit
- Physician Assistant Studies; Stead Family Department of Pediatrics; Biostatistics; Nephrology; Internal Medicine
- Record Identifier
- 9984093491002771
Metrics
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