Attitudes and knowledge about post-mortem organ donation among medical students, trainee nurses and students of health s
- PDF / 550,840 Bytes
- 11 Pages / 595 x 792 pts Page_size
- 57 Downloads / 202 Views
E. Tackmann · P. Kurz · S. Dettmer Institute of Medical Sociology and Rehabilitation Science, Charité—Universitätsmedizin Berlin, Berlin, Germany
Attitudes and knowledge about post-mortem organ donation among medical students, trainee nurses and students of health sciences in Germany A cross-sectional study
Treten Sie in den Austausch
Introduction
Diese Arbeit einer deutschsprachigen Autorengruppe wurde für Der Anaesthesist in Englisch eingereicht und angenommen. Die deutsche Zusammenfassung wurde daher etwas ausführlicher gestaltet. Wenn Sie über diese Zusammenfassung hinaus Fragen haben und mehr wissen wollen, nehmen Sie gern in Deutsch über die Korrespondenzadresse am Ende des Beitrags Kontakt mit den Autoren auf. Die Autoren freuen sich auf den Austausch mit Ihnen.
Between 2010 and 2018, the number of post-mortem organ donors in Germany fell from 1217 to 933 [7]. Despite past transplantation scandals at German transplantation centers being widely discussed in the media, acceptance for post-mortem organ donation among the general population remains as high as ever [11]. The number of people holding organ donor cards in Germany has risen from between 11 and 12% in the period 1999–2003 (Forsa [1999; 2], N = 1,003, German survey, respondents older than 18; Forsa [2001; 2], N = 3,254, German survey, respondents older than 14; Forsa [2003; 2], N = 1,001, German survey, respondents between the ages of 14–24 [2]) to 36% in 2018 (figures from the Federal Center for Health Education, Bundeszentrale für gesundheitliche Aufklärung [BZgA], N = 4001). The majority of respondents in the BZgA survey were in favor of their organs being donated after death [2, 3, 11]. Nevertheless, with 11.3 post-mortem organ donors per million people in 2018, Germany has the lowest donation rate in the Eurotransplant network, which covers Belgium, the Netherlands, Luxembourg, Germany, Austria, Slovenia, Croatia and Hungary [8]. In Germany, the German Organ Transplantation Foundation (DSO) is responsible for coordinating
the organ donation process, while Eurotransplant manages organ allocation and the waiting list [19, 20]. The type of organ donation system affects attitudes to organ donation. In countries with an opt-in system, organ donation can be perceived as more altruistic than in opt-out countries, where consent to organ removal is presumed and non-consent must be recorded in writing [6]. Opt-out countries have higher post-mortem organ donation rates than opt-in countries [14, 18]. In 1997, Germany legally established an extended opt-in system which requires consent from potential donors in the form of an organ donor card or living will. If a person dies without having documented their consent in this way, the family will be asked to decide on their behalf. Under the decision model adopted in 2012, people in Germany receive postal information about organ donation and an organ donor card, from their health insurance provider every 2 years [13, 17, 19]. Germany’s organ shortage is partly the result of problems experienced by hospitals in
Data Loading...
