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Should Lack of Social Support Prevent Access to Organ Transplantation?

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: Taylor & Francis Country of Publication: United States NLM ID: 100898738 Publication Model: Print Cited Medium: Internet ISSN: 1536-0075 (Electronic) Linking ISSN: 15265161 NLM ISO Abbreviation: Am J Bioeth Subsets: MEDLINE
    • بيانات النشر:
      Publication: <2008- > : Philadelphia, Pa. : Taylor & Francis
      Original Publication: Cambridge, Mass. : MIT Press, c2001-
    • الموضوع:
      Health Equity* ; Social Support*; Health Care Rationing/*ethics ; Organ Transplantation/*ethics ; Patient Selection/*ethics; Adult ; Bias ; Clinical Decision-Making/ethics ; Clinical Decision-Making/methods ; Health Care Rationing/methods ; Health Policy ; Humans
    • نبذة مختصرة :
      Transplantation programs commonly rely on clinicians' judgments about patients' social support (care from friends or family) when deciding whether to list them for organ transplantation. We examine whether using social support to make listing decisions for adults seeking transplantation is morally legitimate, drawing on recent data about the evidence-base, implementation, and potential impacts of the criterion on underserved and diverse populations. We demonstrate that the rationale for the social support criterion, based in the principle of utility, is undermined by its reliance on tenuous evidence. Moreover, social support requirements may reinforce transplant inequities, interfere in patients' personal relationships, and contribute to biased and inconsistent listing procedures. As such, accommodating the needs of patients with limited social support would better balance ethical commitments to equity, utility, and respect for persons in transplantation. We suggest steps for researchers, transplantation programs, and policymakers to improve fair use of social support in transplantation.
    • Comments:
      Comment in: Am J Bioeth. 2019 Nov;19(11):25-26. (PMID: 31647758)
      Comment in: Am J Bioeth. 2019 Nov;19(11):31-32. (PMID: 31647759)
      Comment in: Am J Bioeth. 2019 Nov;19(11):32-34. (PMID: 31647761)
      Comment in: Am J Bioeth. 2019 Nov;19(11):48-49. (PMID: 31647764)
      Comment in: Am J Bioeth. 2019 Nov;19(11):42-44. (PMID: 31647765)
      Comment in: Am J Bioeth. 2019 Nov;19(11):29-31. (PMID: 31661403)
      Comment in: Am J Bioeth. 2019 Nov;19(11):39-41. (PMID: 31661405)
      Comment in: Am J Bioeth. 2019 Nov;19(11):45-47. (PMID: 31661407)
      Comment in: Am J Bioeth. 2019 Nov;19(11):35-37. (PMID: 31661415)
      Comment in: Am J Bioeth. 2019 Nov;19(11):37-39. (PMID: 31661418)
      Comment in: Am J Bioeth. 2019 Nov;19(11):27-29. (PMID: 31661419)
    • Contributed Indexing:
      Keywords: ethics; health care rationing; health policy; inequities; justice; organ transplantation; social support
    • الموضوع:
      Date Created: 20191025 Date Completed: 20191226 Latest Revision: 20200108
    • الموضوع:
      20240628
    • الرقم المعرف:
      10.1080/15265161.2019.1665728
    • الرقم المعرف:
      31647757