2015-2017 - Advanced Renal Transplantation - Interactive Teaching Series


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Principles of Organ Allocation

8.1 - Principles of Organ Allocation - Ethics and Selection of Appropriate Recipients

Presenter: Dominique Martin, Francis L. Delmonico, Melbourne, Australia
Authors: Dominique Martin, Francis L. Delmonico

Overview

This webinar will provide an introduction to the ethics of organ allocation and the role that policy and procedure play in promoting equity in allocation of kidneys from deceased donors. Factors influencing recipient selection will also be considered.

Biographies

Dr. Dominique Martin is a Lecturer in Health Ethics at the Centre for Health Equity. She holds a BA in Philosophy and a PhD in Applied Ethics; she has previously practiced as a medical doctor with experience in emergency medicine.

Dr. Martin is involved in research into the ethics of international travel for medical care (“medical tourism”) and the ethical issues of selling human biological materials, which was the subject of her PhD thesis. She is an Executive Board member of the Declaration of Istanbul Custodian Group, and co-chair of the Ethics Committee of The Transplantation Society. Dominique is particularly interested in the subject of national self-sufficiency in organ transplantation, an ethical concept and policy goal on which she has worked in collaboration with the World Health Organization.

Dr. Martin’s other research interests include end-of-life decision-making; deceased donation of organs; and the professional duties of health care providers.

Dr. Francis L. Delmonico, MD, FACS is a surgeon, clinical professor and health expert in the field of transplantation. He serves on numerous committees and is affiliated with various leading organizations and institutions. He is the Medical Director of the New England Organ Bank and Professor of Surgery at Harvard Medical School in Boston, Massachusetts where he is Emeritus Director of Renal Transplantation. He is the Immediate Past-President of the Transplantation Society, an advisor to the World Health Organization in matters of organ donation and transplantation, and currently serves as executive director of the Declaration of Istanbul Custodian Group.

Learning Objectives:

  • Be able to correctly apply key terms and concepts used in ethical evaluation of allocation policies, e.g., equity, utility, impartiality, procedural justice.
  • Understand the importance of organized allocation systems and evidence-based policies in achieving equitable outcomes from organ allocation.
  • Be familiar with some of the challenges of implementing equitable allocation policies in the context of different healthcare systems, e.g., in the absence of universal coverage for renal transplantation.
  • Understand how selection of recipients may influence outcomes of allocation policies.

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