Doação de órgãos e tecidos: relação com o corpo em nossa sociedade (original) (raw)
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Organ Donation: Acceptance and Refusal Among Users of the Public Health System From Brazil
Transplantation Proceedings, 2008
The present study sought to identify the perception of a given group of users of the Brazilian Public Health System (Sistema Único de Saúde) regarding organ donation and to implement an educational policy. Structured interviews were conducted with the aim of describing the profile of donor and nondonor subjects, the importance of organ donation, and the knowledge regarding donation and brain death. One hundred subjects were interviewed: 33% of them considered themselves potential donors; 40% were donors; 13% were nondonors; and 14% were ill-informed potential donors. However, only 40% of users have already officially expressed to their families a willingness to donate. Regarding their knowledge about the propitious moment for organ donation, only 64% of them associated the donation act with brain death. Although the present results revealed that users of the Brazilian Public Health System are prone to organ donation, there actually was a high amount of refusals, which may be due to lack of information and knowledge regarding the donation-transplantation process.
Influence of knowledge for organ and tissue donation for transplantation
International Journal of Advanced Engineering Research and Science, 2020
Objective: to investigate the opinion and intention of the adult population in the city of Belém, State of Pará, Brazil, regarding the donation of organs and tissues for transplantation. Method: a crosssectional, population-based, descriptive study with a quantitative approach, carried out in the city of Belém of Pará, Brazil, from July to August 2019. Results: 387 participants were interviewed, where 70.8% expressed a positive opinion regarding donation and intention to donate organs and tissues; and 50.9% had expressed their desire to be a donor to a family member. 88.6% of the interviewees would authorize the donation of organs and tissues after the death of a family member, provided that he previously expressed his willingness to be a donor. However, only 59.7% would authorize the donation of organs from a loved one diagnosed with brain death. There was a greater intention to donate, among female individuals, aged between 18 to 27 years, students, with family income between 3 to 5 minimum wages, who have children, Catholics and who live 3 to 4 hours a day with the family. Conclusion: this study allows us to conclude that older individuals with less education have less intention to donate their organs. The lack of information on organ donation and transplantation and all the consequences of not knowing the donation process is certainly a limiting factor for the increase in the number of donors.
Transplant International, 2023
Over the past two decades, Portugal has become one of the world leaders in organ donation and transplantation despite significant financial constraints. This study highlights how Portugal achieved success in organ donation and transplantation and discusses how this information might be used by other countries that are seeking to reform their national programs. To accomplish this goal, we performed a narrative review of relevant academic and grey literature and revised our results after consultation with two national experts. Our findings were then synthesized according to a conceptual framework for organ donation and transplantation programs. Our results revealed several key strategies used by the Portuguese organ donation and transplantation program, including collaboration with Spain and other European nations, a focus on tertiary prevention, and sustained financial commitment. This report also explores how cooperative efforts were facilitated by geographical, governmental, and cultural proximity to Spain, a world leader in organ donation and transplantation. In conclusion, our review of the Portuguese experience provides insight into the development of organ donation and transplantation systems. However, other countries seeking to reform their national transplant systems will need to adapt these policies and practices to align with their unique cultures and contexts.
The lay person and transplantation
Patients’ rights, reproductive technology and transplantation (Cauchi, Ed.), 2000
The work I will be presenting in this paper is part of a project carried out by a group of people coming from different disciplines. The aims of the project were four. These were: 1. To create greater awareness of organ donation among the public; 2. To provide information about organ donation; 3. To foster positive attitudes towards organ donation and decrease negative ones, 4. To increase the number of donor card holders. To reach these objectives we decided to launch a nation campaign on organ donation. The campaign was based on the Social Marketing Model proposed by Kotler (Kotler & Roberto, 1989). The formative research carried out before the campaign consisted of a national survey with a quota sample of 400 people, 12 interviews with doctors, donor families and recipients and five focus groups. In this paper I shall only present the results of the survey. I shall also discuss briefly the results of two other surveys carried out after the campaign.
Progress in Organ Donation and Transplantation: A Critical Review of Literature
Global Journal of Health Science
The majority of countries are battling with a high incidence of organ failure such as the kidneys, heart, lungs, pancreas, and liver. The only solution that can remedy the plight of patients facing the strong likelihood of death as a result of malfunctioning body organs is organ donation and transplantation. The intention of this literature study is to assess progress in organ donation and transplantation. This study has benefitted immeasurably from previous scientific investigations. Four hundred and thirty-one published papers were selected from different accredited journals. The study found that many of the countries that have implemented the opt-in system are struggling to close the gap between the high demand for and the actual availability of life-saving organs due to low rates of registered and committed organ donors. The majority of patients that are contending with end-stage diseases are added to the organ donation waiting lists, but have little hope of receiving life-prolo...
Ten Lessons From the Spanish Model of Organ Donation and Transplantation
Transplant International, 2023
The organ donation and transplantation program in Spain has long been considered the gold standard worldwide. An in-depth understanding of the Spanish program may promote the development and reform of transplant programs in other countries. Here, we present a narrative literature review of the Spanish organ donation and transplantation program supplemented by expert feedback and presented according to a conceptual framework of best practices in the field. Core features of the Spanish program include its three-tiered governing structure, close and collaborative relationships with the media, dedicated professional roles, a comprehensive reimbursement strategy, and intensive tailored training programs for all personnel. Several more sophisticated measures have also been implemented, including those focused on advanced donation after circulatory death (DCD) and expanded criteria for organ donation. The overall program is driven by a culture of research, innovation, and continuous commitment and complemented by successful strategies in prevention of end-stage liver and renal disease. Countries seeking ways to reform their current transplant systems might adopt core features and may ultimately aspire to include the aforementioned sophisticated measures. Countries intent on reforming their transplant system should also introduce programs that support living donation, an area of the Spanish program with potential for further improvement.
Organ Transplantation: A Life-Line or Death Row?
KIU Journal of Humanities, 2021
This paper aims at an examination of organ transplantation with special focus on the viability or otherwise of transplantation as a lifesaving procedure for patients with end-stage organ failures. It points out that the crucial issues in organ transplantation is centered on question of whether organ transplantation really serves the purpose of saving lives or a death-row and the question of how to ensure justice in the face of organ shortage. This paper therefore argues that organ transplantation which is supposed to serve solely the purpose of life saving is also a death row for those awaiting organs; this is because of the unavailability of organ, unwillingness to donate and the unfavorable role that the criteria for allocation does to others who are not opportune to have the needed organ before death.
Reflections about the Intra-hospital Commission on Organ and Tissue Donation for Transplant
2013
This is a literature review with the aim of characterizing the legislation that refers to the obstacles encoun tered by Intra Hospital Commission of Organs and Tissues Donation for Transplantation (CIHDOTT). It was observed that should be taken continuing education measures among health professionals in this committee to know the cultural profile of the population which serves this population and lead to relevant information to the donation process in order to raise this discussion between families and perhaps thereby reduce waiting lists for a transplant in Brazil.