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INCENTIVES FOR ORGAN DONATION - [German]


Duration:

Jul 2003 - Jun 2006

Funding body:

Bundesministerium für Bildung und Forschung (BMBF)

Contact:

Dr. phil. Margret Engelhard, Dipl.-Biol.

Wilhelmstr. 56

53474 Bad Neuenahr-Ahrweiler

Germany

Phone: +49 (0) 2641 973-305

E-Mail: margret.engelhard@ea-aw.de
URL: http://www.ea-aw.de

Head:

Project Coordination:

Dr. phil. Margret Engelhard, Dipl.-Biol., Bad Neuenahr-Ahrweiler

Member:

Professor Dr. rer. pol. Friedrich Breyer, Konstanz (chair)

Professor Dr. jur. Wolfgang van den Daele, Berlin

Professor Dr. med. Gundolf Gubernatis, Wilhelmshaven

Professor Dr. phil. Hartmut Kliemt, Duisburg

Professor Dr. jur. Dr. med. Christian Kopetzki, Wien

Professor Dr. med. Hans Jürgen Schlitt, Regensburg

Professor Dr. jur. Jochen Taupitz, Mannheim

Short Description:

The scarcity of donated organs is an issue of heightened social relevance. Since each year in Germany, some 1,000 patients die while waiting for an organ and another 12,000 patients on the waiting list suffer severely, society must not ignore the scarcity of organs, but consistently has to seek for solutions and discuss diverse approaches without any taboo to tackle this problem. This study is the result of an interdisciplinary research project. It examines diverse causes of the scarcity of organs and explores ways to alleviate this problem. It therefore addresses scientists, affected persons, health professionals, policy and the interested public. At first the analysis focuses on cadaveric organ donation. Main factors that could lead to rates of increased organ donation are the participation of hospitals in the procurement of cadaveric organs, the coordination of the organ donation process and the permission by the donor or relatives for organ removal. The study pinpoints strategies to influence these factors positively. They range from the removal of financial obstacles for reporting hospitals, to an abolishment of the monopoly of the coordinating institution and to an introduction of the opting- out (“presumed consent”) system. For the specific scarcity of kidneys and livers even controversially discussed approaches to expand live organ donation are taken into account.

Keywords

codes of ethics – delivery of health care – ethics of science – medical ethics – medical ethos – philosophy of nature – physician-patient relationship – resource allocation – technology assessment – technology ethics

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