The potential of legislation on organ donation to increase the supply of donor organs
AbstractObjectives The aim of this paper is to assess the possibilities to adapt the 1998 Dutch Organ Donation Act, taking account of fundamental principles such as the right to physical integrity, equitable access to and equal availability of care, and the non-commerciality principle, with a view to increasing the organ supply.Methods In 2008 the Dutch Taskforce on Organ Donation presented several proposals to amend the Act and to increase the supply of organs. This paper describes the proposals to amend the Act and evaluates them by assessing their intrinsic adherence to basic principles and the available evidence that these proposals will indeed increase the organ supply.Results Several proposals could constitute an infringement of fundamental principles of the Act. Moreover, evidence for their impact on the organ supply is lacking. Changing the consent system is possible, as this would not incur legal objections. There are diverging views regarding the impact of consent systems on the organ supply.Conclusions The scope for changing the Act and its impact on organ procurement is at best limited. Relying on legislation alone will possibly not bring much relief, whereas additional policy measures may be more successful.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
Bibliographic InfoArticle provided by Elsevier in its journal Health Policy.
Volume (Year): 98 (2010)
Issue (Month): 2-3 (December)
Contact details of provider:
Web page: http://www.elsevier.com/locate/healthpol
Policy development Legislation Consent system Fundamental principles Organ donation Organ shortage;
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Kokkedee, William, 1992. "Kidney procurement policies in the eurotransplant region : 'Opting in' versus 'opting out'," Social Science & Medicine, Elsevier, vol. 35(2), pages 177-182, July.
- Abadie, Alberto & Gay, Sebastien, 2004.
"The Impact of Presumed Consent Legislation on Cadaveric Organ Donation: A Cross Country Study,"
Working Paper Series
rwp04-024, Harvard University, John F. Kennedy School of Government.
- Abadie, Alberto & Gay, Sebastien, 2006. "The impact of presumed consent legislation on cadaveric organ donation: A cross-country study," Journal of Health Economics, Elsevier, vol. 25(4), pages 599-620, July.
- Alberto Abadie & Sebastien Gay, 2004. "The Impact of Presumed Consent Legislation on Cadaveric Organ Donation: A Cross Country Study," NBER Working Papers 10604, National Bureau of Economic Research, Inc.
- de Charro, Frank Th. & Akveld, Hans E. M. & Hessing, Dick J., 1993. "Systems of donor transfer," Health Policy, Elsevier, vol. 25(3), pages 199-212, October.
- Defever, Mia, 1990. "The policies of organ transplantation in Europe: issues and problems," Health Policy, Elsevier, vol. 16(2), pages 95-103, November.
- Schweda, Mark & Schicktanz, Silke, 2009. "Public ideas and values concerning the commercialization of organ donation in four European countries," Social Science & Medicine, Elsevier, vol. 68(6), pages 1129-1136, March.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Zhang, Lei) or () The email address of this maintainer does not seem to be valid anymore. Please ask to update the entry or send us the correct address.
If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.
If references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.
If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.