A Program of Research to Evaluate the Impact of Deceased Organ Donation Legislative Reform in Nova Scotia: The LEADDR Program

In recent years, rates of deceased organ donation in Nova Scotia have remained stagnant, falling behind provinces that have invested in their organ donation programs. The Nova Scotia provincial government has recently committed to health system transformation, which will include enactment of presumed consent legislation in 2020. Although impressive rates of deceased organ donation are often observed in countries with presumed consent legislation, improvements in performance can more often be attributed to the accompanying health system transformation. Key components of high performing deceased organ donation systems include highly trained organ donation specialists, practice guidelines, healthcare professional education, performance metric reviews, accountability frameworks, and public awareness campaigns in addition to adequate legislation. For Nova Scotia’s organ donation program to succeed, the provincial government must also invest the frontline financial resources required to develop and maintain adequate program infrastructure and implement key strategies to support a culture of donation.

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Can financial rewards complement altruism to raise deceased organ donation rates?

Nursing Ethics ◽

10.1177/0969733020918927 ◽

2020 ◽

Vol 27 (6) ◽

pp. 1436-1449

Author(s):

Rajah Rasiah ◽

Navaz Naghavi ◽

Muhammad Shujaat Mubarik ◽

Hamid Sharif Nia

Keyword(s):

Socioeconomic Status ◽

Organ Donation ◽

Financial Incentives ◽

Structural Equation ◽

Public Awareness ◽

Equation Modeling ◽

Willingness To Donate ◽

Deceased Organ Donation ◽

The University ◽

The Impact

Background: Organ supply–demand in developing countries worldwide has continued to widen. Hence, using a large survey (n ¼ 10,412), this study seeks to investigate whether human psychology could be used to inculcate philanthropy to raise deceased organ donation rates. Methods: Three models were constructed to examine multidimensional relationships among the variables. Structural equation modeling was applied to estimate the direct and indirect influence of altruism, financial incentives, donation perception, and socioeconomic status simultaneously on willingness to donate deceased organs. Ethical considerations: The study was approved by the University of Malaya ethics committee. Results: The results show that altruism amplifies the impact of socioeconomic status and donation perception on willingness to donate. Also, the results show that financial incentives cannot complement altruism to raise organ donation rates. Hence, investing in education and public awareness enhances altruism in people, which then increases the propensity to donate. Conclusion: Evidence suggests that governments should allocate resources to increase public awareness about organ donation. Awareness programs about the importance of philanthropic donations and the participation of medical consultants at hospitals in the processes form the foundation of such a presumptive approach.

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The Effect of Donor Transportation on the Function of Donor’s Organs

10.21203/rs.3.rs-952422/v1 ◽

2021 ◽

Author(s):

Jianrong Liu ◽

Zhuchun Wang ◽

Yuling An ◽

Xuxia Wei ◽

Xiaomeng Yi ◽

...

Keyword(s):

Cardiac Arrest ◽

Organ Donation ◽

Decompression Surgery ◽

Long Distance ◽

Transport Distance ◽

Blood Biochemical ◽

Change Level ◽

Deceased Organ Donation ◽

History Of ◽

The Impact

Abstract Background: The impact of donor transportation on the outcome of deceased organ donation remains largely unknown. This study aimed to investigate the effect of donor transportation on the function of the donor’s organs. Methods: From 2016 to 2018, 139 donors of successful deceased organ donation from the local (primary) hospitals transferred to our hospital were included for analysis. Blood samples were drawn immediately after the donor admitted to our hospital (pre-transport data) and before donation (post-transport data) to assess the donor’s organ functions by determining the levels of blood biochemical indexes. Results: The donor with a transport distance >200 km had higher post-transportation AST and a bigger change of TB level as compared with those with a transport distance < 200 km. Pearson’s correlation analysis showed a positive correlation between transport distance and post-transport AST. The donors with cardiac arrest history had significantly higher pre-transport AST, pre-transport ALT, post-transport ALT, post-transport BUN, and the change level of BUN after transport as compared with those without cardiac arrest history. The donors with a history of cranial decompression surgery had significantly lower pre-transport AST, pre-transport ALT, and post-transport Cr as compared with those without a history of cranial decompression surgery. Conclusion: These results suggested that long-distance donor transportation may result in organ function deterioration, especially for donors with a cardiac arrest history. Donors with a history of intracranial decompression surgery can alleviate this problem.

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