Altruistic living kidney donation challenges psychosocial research and policy: a response to previous articles.

作者: Medard T. Hilhorst , Leonieke W. Kranenburg , Willij Zuidema , Willem Weimar , Jan N. M. IJzermans

DOI: 10.1097/01.TP.0000164150.53036.A1

关键词:

摘要: Background. Policies with respect to altruistic living kidney donation strangers (both nondirected and directed donation) should, in addition medical criteria, preferably be based on valid attitude research data. However, deciding what data are relevant is a normative issue. The challenge for both policy making bring together empirical issues. Methods. By comparing two recent surveys, the authors shed light complex methodologic ethical questions surrounding donation. Results. found that main issues were distinction between willingness donate acceptability of offer, difference public attitudes observed surveys ("facts") well-considered moral judgments ("norms"), biases caused by misperception central concepts (e.g., discrimination injustice). argue transplantation centers have good case applying or initiating programs. Centers should seek influence if these shown biased prejudice misunderstanding. Conclusions. advocate an interaction making. Social can best policies in-depth interviews into complicated background beliefs underlying personal preferences. In addition, encouraged judge immanent morally responsible way. end, fair balance established impartial requirements social justice partial motivations individuals involved Although discriminatory acts rejected categorically, willing consider, support, accept loyalties. Copyright

参考文章(15)
T M Wilkinson, What's not wrong with conditional organ donation? Journal of Medical Ethics. ,vol. 29, pp. 163- 164 ,(2003) , 10.1136/JME.29.3.163
D. Joralemon, Shifting ethics: debating the incentive question in organ transplantation Journal of Medical Ethics. ,vol. 27, pp. 30- 35 ,(2001) , 10.1136/JME.27.1.30
Bert Molewijk, Anne M. Stiggelbout, Wilma Otten, Heleen M. Dupuis, Job Kievit, Empirical data and moral theory. A plea for integrated empirical ethics. Medicine Health Care and Philosophy. ,vol. 7, pp. 55- 69 ,(2004) , 10.1023/B:MHEP.0000021848.75590.B0
RACHEL A. ANKENY, The moral status of preferences for directed donation: who should decide who gets transplantable organs? Cambridge Quarterly of Healthcare Ethics. ,vol. 10, pp. 387- 398 ,(2001) , 10.1017/S096318010100408X
Monica A. Landolt, Antonia J.Z. Henderson, William M. Barrable, Sally D. Greenwood, Michael F. McDonald, John G. Soos, David N. Landsberg, Living anonymous kidney donation: what does the public think? Transplantation. ,vol. 71, pp. 1690- 1696 ,(2001) , 10.1097/00007890-200106150-00034
Medard T. Hilhorst, DIRECTED ALTRUISTIC LIVING ORGAN DONATION: PARTIAL BUT NOT UNFAIR Ethical Theory and Moral Practice. ,vol. 8, pp. 197- 215 ,(2005) , 10.1007/S10677-005-3295-3
Aaron Spital, Must kidney donation by living strangers be nondirected Transplantation. ,vol. 72, pp. 966- ,(2001) , 10.1097/00007890-200109150-00041
Antonia J. Z. Henderson, Monica A. Landolt, Michael F. McDonald, William M. Barrable, John G. Soos, William Gourlay, Colleen J. Allison, David N. Landsberg, The living anonymous kidney donor: lunatic or saint? American Journal of Transplantation. ,vol. 3, pp. 203- 213 ,(2003) , 10.1034/J.1600-6143.2003.00019.X