The Singapore Medical Journal publishes an extremely cautious article on Policy options for increasing the supply of transplantable kidneys in Singapore
It concludes with these
"Recommendations:
In order to increase the number of LDs within the existing regulatory framework, non-repugnant incentives can be considered, such as an organ donation award that not only recognises the significance of the donor’s act but also creates meaningful conversation on the importance of organ donation in saving lives. In addition, local online platforms can be created to help ESRD patients appeal to the public for directed kidney donations.
Meanwhile, in order to increase the number of DDs, it is critically important to establish administrative incentives for healthcare professionals to take responsibility for improving the organ transplantation process through QI programmes. Therefore, measures that can be considered include stronger incentives and training for personnel involved in donor-identification, coupled with greater transparency for both individual hospital DD actualisation rates and DCD statistics. Finally, potential donors and their immediate families can be further incentivised through a transplant priority system which favours donors’ families.
In conclusion, greater measures to encourage and facilitate donation can be implemented at all levels to meet society’s transplantation needs. Moving forward, all relevant institutions in Singapore are encouraged to contribute their insights and experience in increasing the supply of kidneys for transplantation so that a meaningful national conversation can commence and best practices adopted to address this urgent shortage."
It concludes with these
"Recommendations:
In order to increase the number of LDs within the existing regulatory framework, non-repugnant incentives can be considered, such as an organ donation award that not only recognises the significance of the donor’s act but also creates meaningful conversation on the importance of organ donation in saving lives. In addition, local online platforms can be created to help ESRD patients appeal to the public for directed kidney donations.
Meanwhile, in order to increase the number of DDs, it is critically important to establish administrative incentives for healthcare professionals to take responsibility for improving the organ transplantation process through QI programmes. Therefore, measures that can be considered include stronger incentives and training for personnel involved in donor-identification, coupled with greater transparency for both individual hospital DD actualisation rates and DCD statistics. Finally, potential donors and their immediate families can be further incentivised through a transplant priority system which favours donors’ families.
In conclusion, greater measures to encourage and facilitate donation can be implemented at all levels to meet society’s transplantation needs. Moving forward, all relevant institutions in Singapore are encouraged to contribute their insights and experience in increasing the supply of kidneys for transplantation so that a meaningful national conversation can commence and best practices adopted to address this urgent shortage."
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