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Introduction: The first organ transplant was carried out by the team of Dr. Joseph Murray. In Poland, the team led by Zbigniew Religa carried out the first heart transplantation on November 5,1982. Materials and methods: The study was conducted among students of Public Health Faculty of Health Sciences at the Medical University of Warsaw (MUW) and the Faculty of Health Science at the Medical University of Bialystok (MUB) among students of three years of bachelor’s degree and two years of master’s degree. Test method was a diagnostic survey. We used a questionnaire compiled by the authors of the publication, containing 21 questions, and in five of them the 5- degree Likert’s scale was used. Results: When asked about promoting the procurement and transplantation of organs from the deceased 74.3% of students from both universities answered definitely yes, 22.2% - rather yes. When asked if in the event of death they would agree to be a donor 64.2% said definitely yes, 26.3% - rather yes, 8.7% - hard to say. 48.5% of respondents from MUW and 42.4% from MUB spoke to their relatives about their decision whether or not to remove organs after death. Conclusions: The analysis of the study shows high acceptability of transplantation medicine in terms of saving lives, however, the desire to donate one’s own organs after death or acceptance of organ donation after death of loved ones is far from the overall acceptability
Content available remote Caveat patiens - ethical dilemmas in decision -making
Open Medicine
tom 3
nr 4
More than 99,358 men, women and children are on organ transplant lists in the United States. Pressure on family members to donate organs can therefore be intense. The medical excuse was created to address this potential coercion. It is a fabricated anatomical or physiological reason given to a donor (with or without the donor’s request) that provides an immediate shield against coercive pressure by family and friends on the potential donor. While the long-term risks and benefits of the medical excuse have not been studied, they could arguably include: 1) Reinforced perception that donation is expected; hence, declining donation is aberrant, and requires legitimization by external authority; 2) Eroded family trust of transplant physicians; 3) Eroded family trust in the individual reporting a “true” medical excuse; 4) Falsification of potential donor’s medical record; 5) Development of “toxic secrets” in the family unit; 6) Paternalism; and 7) General erosion of trust in both health care providers and the healthcare system. This author proposes a system of transparent and balanced communication where both the potential donor and the transplant team are clearly cognizant of the voluntary nature of the purported donation and where provisions for “opting-out” occur at any point along the pre-transplantation continuum.
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