scholarly journals Québec health care professionals’ perspectives on organ donation after medical assistance in dying

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Julie Allard ◽  
Fabian Ballesteros ◽  
Marie-Chantal Fortin

Abstract Background Medical assistance in dying (MAID) has been legal in Québec since December 2015 and in the rest of Canada since July 2016. Since then, more than 60 people have donated their organs after MAID. Such donations raise ethical issues about respect of patients’ autonomy, potential pressure to choose MAID, the information given to potential donors, the acceptability of directed donations in such a context and the possibility of death by donation. The objective of this study was to explore Québec professionals’ perspectives on the ethical issues related to organ donation after MAID. Methods We conducted semi-directed interviews with 21 health care professionals involved in organ donation such as intensivists and intensive care nurses, operating room nurses, organ donation nurses and coordinators. Results The participants were all favourable to organ donation after MAID in order to respect patients’ autonomy. They also favoured informing all potential donors of the possibility of donating organs. They highlighted the importance of assessing donors’ reasons for requesting MAID during the assessment. They were divided on directed donation, living donation before MAID and death by donation. Conclusion Organ donation after MAID was widely accepted among the participants, based on the principle of respect for the donor’s autonomy. The findings of this study only provide the perspectives of Québec health care professionals involved in organ donation. Future studies are needed to gather other stakeholders’ perspectives on this issue as well as patients’ and families’ experiences of organ donation after MAID.

CMAJ Open ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. E190-E196
Author(s):  
Antoine Boivin ◽  
François-Pierre Gauvin ◽  
Geneviève Garnon ◽  
Agustina Gancia ◽  
Ghislaine Rouly ◽  
...  

2021 ◽  
pp. 101053952110147
Author(s):  
Yaena Song ◽  
Linda Ko ◽  
Sou Hyun Jang

This study aimed to examine the types of misinformation spreading in South Korea during the coronavirus disease 2019 (COVID-19) pandemic by exploring the fact-checking posts uploaded on the Korea Centers for Disease Control and Prevention (KCDC) website. We conducted a content analysis of the posts written on the KCDC website titled, “COVID-19: Fact and Issue Check,” from February to August 2020 (n = 81). Two coders individually coded the posts using a codebook. Discrepancies in coding were discussed to reach reconciliation. Fifteen different Korean government agencies used the KCDC platform to refute various topics of COVID-19 misinformation, including policy (42.0%), how to prevent the spread (16.0%), health care professionals (12.3%), testing (11.1%), prevention (self-care) (9.9%), masks (8.6%), confirmed cases (8.6%), statistics (3.7%), self-quarantine (2.5%), and treatment (1.2%). We found that there are more dissemination and correction of nonmedical areas of COVID-19 misinformation than medical areas in Korea. Future studies need to examine to what extent the corrected COVID-19 misinformation has been disseminated on different social media platforms, beyond the KCDC website.


2018 ◽  
Vol 190 (44) ◽  
pp. E1305-E1306
Author(s):  
Johannes Mulder ◽  
Johan P.C. Sonneveld

2010 ◽  
Vol 42 (1) ◽  
pp. 126-129 ◽  
Author(s):  
S. Radunz ◽  
S. Hertel ◽  
K.W. Schmid ◽  
M. Heuer ◽  
P. Stommel ◽  
...  

2020 ◽  
pp. medethics-2020-106456
Author(s):  
Zeljka Buturovic

In the past, a vast majority of medical assistance in dying (MAiD) patients were elderly patients with cancer who are not suitable for organ donation, making organ donation from such patients a rare event. However, more expansive criteria for MAiD combined with an increased participation of MAiD patients in organ donation is likely to drastically increase the pool of MAiD patients who can serve as organ donors. Previous discussions of ethical issues arising from these trends have not fully addressed difficulties involved in separating decision to end one’s life from the one to donate one’s organs. However, realities of organ donation logistics and human decision making suggest that this separation can be extraordinary difficult. The need to maximise quality of donated organs complicates dying experience of the donor and is likely in tension with the dying experience the patient envisioned when first considering MAiD. Furthermore, the idea that patients will think about MAiD first, and only when firmly decided to end their life, consider organ donation, runs contrary to organ donation policies in some countries as well as end of life and everyday decision making. This opens the door for organ donation to serve as an incentive in MAiD decisions. Dispensing with the simplistic assumption that organ donation can never be a factor in MAiD decisions is, therefore, essential first step to properly addressing ethical issues at hand.


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