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Physician and relatives’ role change after shifting to an opt-out organ donation system in the Netherlands: A before and after ethnographic study

Author

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  • Kok, Niek
  • van de Meulenhof, Myrthe
  • Abdo, Wilson F.
  • van Gurp, Jelle L.P.
  • Olthuis, Gert

Abstract

In 2020, the Netherlands adopted an opt-out registration system for organ donation meaning that consent for donation is presumed except when someone actively objects against this. This change in organ donation default policy may change the division of roles between relatives and physicians during conversations.

Suggested Citation

  • Kok, Niek & van de Meulenhof, Myrthe & Abdo, Wilson F. & van Gurp, Jelle L.P. & Olthuis, Gert, 2025. "Physician and relatives’ role change after shifting to an opt-out organ donation system in the Netherlands: A before and after ethnographic study," Health Policy, Elsevier, vol. 162(C).
  • Handle: RePEc:eee:hepoli:v:162:y:2025:i:c:s0168851025002283
    DOI: 10.1016/j.healthpol.2025.105473
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    References listed on IDEAS

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    1. Verheijde, Joseph L. & Rady, Mohamed Y. & McGregor, Joan L. & Friederich-Murray, Catherine, 2009. "Enforcement of presumed-consent policy and willingness to donate organs as identified in the European Union Survey: The role of legislation in reinforcing ideology in pluralistic societies," Health Policy, Elsevier, vol. 90(1), pages 26-31, April.
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    6. Wachner, Jonas & Adriaanse, Marieke & Hoven, Mariette van den & de Ridder, Denise, 2022. "Does default organ donation registration compromise autonomous choice? Public responses to a new donor registration system," Health Policy, Elsevier, vol. 126(9), pages 899-905.
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