Potential Limitations of Presumed Consent Legislation
Potential Limitations of Presumed Consent Legislation
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DOI:
10.1097/tp.0b013e31823173e0
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发表时间:
2012-01-27
期刊:
影响因子:
6.2
通讯作者:
Segev, Dorry L.
中科院分区:
文献类型:
--
作者:
Boyarsky, Brian J.;Hall, Erin C.;Segev, Dorry L.
A causal link has been proposed between presumed consent ( PC) and increased donation; we hypothesized that too much heterogeneity exists in transplantation systems to support this inference. We explored variations in PC implementation and other potential factors affecting donation rates. In-depth interviews were performed with senior transplant physicians from 13 European PC countries. Donation was always discussed with family and would not proceed against objections. Country-specific, nonconsent factors were identified that could explain differences in donation rates. Because the process of donation in PC countries does not differ dramatically from the process in non-PC countries, it seems unlikely that PC alone increases donation rates.