Dolan, P. and Shaw, R. (2004) A note on a discussion group study of public preferences regarding priorities in the allocation of donor kidneys. Health Policy, 68(1), pp. 31-36. (doi: 10.1016/j.healthpol.2003.07.006)
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A_note_on_a_discussion_group_of_public_preferences1.pdf 88kB |
Publisher's URL: http://dx.doi.org/10.1016/j.healthpol.2003.07.006
Abstract
<i>Objective</i>: To explore whether and how people wish to give differential priority based on certain characteristics of the potential recipient of a donor kidney. Design: A random sample of people resident in York was invited to attend two focus group meetings each, a fortnight apart. <i>Setting</i>: The City of York. <i>Participants</i>: Twenty-three randomly chosen people meeting in four groups of five or six. <i>Main outcome measures</i>: Those factors that people think should be taken into account when allocating donor kidneys, in addition to the expected benefits from transplantation. <i>Results</i>: People are willing and able to distinguish between potential recipients of a kidney transplantation according to a range of characteristics beyond the expected benefits from treatment. There is a clear consensus across the four groups that one of the most important considerations is what will happen to the patient without treatment, and so priority is given to those with a poor prognosis. There is also a strong view that priority should be given to younger patients and to those with dependants. The time spent waiting for a transplant is also important, but less so. <i>Conclusions</i>: A sample of the general public, after discussion and debate, wish to take account of a number of patient characteristics when allocating donor kidneys. There is some degree of consensus about what these factors should be and this suggests that it might be possible to develop a set of guidelines for the allocation of donor kidneys.
Item Type: | Articles |
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Keywords: | Kidney transplantation; Graft allocation; Public preferences; Focus groups |
Status: | Published |
Refereed: | Yes |
Glasgow Author(s) Enlighten ID: | Shaw, Dr Rebecca |
Authors: | Dolan, P., and Shaw, R. |
Subjects: | R Medicine > RA Public aspects of medicine R Medicine > RC Internal medicine |
College/School: | College of Medical Veterinary and Life Sciences College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > Health Economics and Health Technology Assessment |
Journal Name: | Health Policy |
Publisher: | Elsevier |
ISSN: | 0168-8510 |
ISSN (Online): | 1872-6054 |
Published Online: | 06 November 2003 |
Copyright Holders: | Copyright © 2004 Elsevier |
First Published: | First published in Health Policy 68(1):31-36 |
Publisher Policy: | Reproduced in accordance with the copyright policy of the publisher |
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