Moorlock, Greg and Draper, Heather (2022) Proposal to support making decisions about the organ donation process. Journal of Medical Ethics, 49 (6). pp. 434-438. doi:10.1136/jme-2022-108323 ISSN 0306-6800.
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Abstract
In this paper we propose a novel approach to permit members of the public opportunity to record more nuanced wishes in relation to organ donation. Recent developments in organ donation and procurement have made the associated processes potentially more multi-staged and complex than ever. At the same time, opt-out legislation has led to a more simplistic recording of wishes than ever. We argue that in order to be confident that a patient would really wish to go ahead with the various interventions and procedures that now accompany organ donation, more nuanced information than a simple ‘yes’ or ‘no’ may be required. This is of particular importance for donation after circulatory death, where some interventions to facilitate donation occur when the patient is still alive. We propose the implementation of an online form to allow people to record more nuanced wishes in relation to donation, including an indication of competing wishes and how these should be weighed into decision-making. We argue that this approach will promote autonomous decision-making for the public, potentially reduce difficulties that family members encounter at the time of organ donation, and should make medical staff more confident that they are truly acting according to the wishes and best interests of their patients.
| Item Type: | Journal Article |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RD Surgery |
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
| Library of Congress Subject Headings (LCSH): | Donation of organs, tissues, etc. -- Great Britain, Donation of organs, tissues, etc. -- Great Britain -- Decision making, Donation of organs, tissues, etc. -- Great Britain -- Moral and ethical aspects, Medical policy -- Great Britain |
| Journal or Publication Title: | Journal of Medical Ethics |
| Publisher: | BMJ Group |
| ISSN: | 0306-6800 |
| Official Date: | May 2022 |
| Dates: | Date Event May 2022 Published 11 August 2022 Available 7 August 2022 Accepted |
| Volume: | 49 |
| Number: | 6 |
| Page Range: | pp. 434-438 |
| DOI: | 10.1136/jme-2022-108323 |
| Status: | Peer Reviewed |
| Publication Status: | Published |
| Re-use Statement: | This article has been accepted for publication in Journal of Medical Ethics, 2022 following peer review, and the Version of Record can be accessed online at http://dx.doi.org/10.1136/jme-2022-108323]. © Author(s) (or their employer(s)) 2022. No commercial re-use. See rights and permissions. Published by BMJ. |
| Access rights to Published version: | Restricted or Subscription Access |
| Date of first compliant deposit: | 9 August 2022 |
| Date of first compliant Open Access: | 23 August 2022 |
| Related URLs: | |
| URI: | https://wrap.warwick.ac.uk/168093/ |
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