Original Article

Organ Donation in Turkey: The Knowledge, Approaches and Opinions of Family Physicians

Abstract

Background: Considering the gap between organ donors and receivers, it can be assumed that family physicians may play an important role in organ donation. Thus, we aimed to investigate the family physicians’ approaches to organ donation in Turkey.

Methods: In this cross-sectional study, an online survey was sent to all family physicians working in Family Health Centers in Turkey Between Jul – Sep 2018. The survey questioned the knowledge, approaches, and opinions about organ donation issues, besides the socio-demographic characteristics.

Results: Most physicians stated that they had given information to their patients on this subject at least occasionally (59.19%, n=998). Among participants, the most common reason for refusing consent for organ donation was the fear of commercial abuse (19.66%, n=244). Most participants (52.61%, n=887) stated that they had been positively affected by the media about organ donation. Some physicians were uncertain about the reliability of the brain death diagnosis (18.39%, n=310). A minor group stated that organ donation might be religiously inappropriate (10.50%, n=177).

Conclusion: Although most of the family physicians had a positive manner about organ donation, there was still some wrong knowledge of the participants about legal and medical aspects of organ donation, as well as some other concerns like organ trafficking and reliability of brain death diagnoses, whereas religious concerns were not significant.

1. Morgan M, Kenten C, Deedat S, et al (2016). Increasing the acceptability and rates of organ donation among minority ethnic groups: a programme of observational and evaluative research on Donation, Transplantation and Ethnicity (DonaTE). Programme Grants Appl Res, 4.
2. Jonsen AR (2012). The ethics of organ transplantation: a brief history. Virtual Mentor, 14(3):264-8.
3. Ertin H (2015). Organ Donation and Transplantation Medicine: Ethical Framework and Solutions. Turkish Journal of Business Ethics, 7:91-120.
4. Siemionow M, Ozturk C (2012). Face transplantation: outcomes, concerns, controversies, and future directions. J Craniofac Surg, 23(1):254-9.
5. Tasigiorgos S, Kollar B, Krezdorn N, et al (2018). Face transplantation-current status and future developments. Transpl Int, 31(7):677-688.
6. Shanker RR, Anthony SJ, Wright L (2018). A Scoping Review of the Literature on Public Solicitations for Living Organ and Hematopoietic Stem Cell Donations. Prog Transplant, 28(3):288-295.
7. Numbers of Cadaveric Donors by Years. Turkish Ministry of Health (2019). Available from. https://organkds.saglik.gov.tr/dss/PUBLIC/Transplant_Solid_Organ.aspx
8. The potential impact of an opt out system for organ donation in the UK London: DepartmentofHealth(2008).Availablefrom: https://nhsbtdbe.blob.core.windows.net/umbraco-assets-corp/4250/thepotentialimpactofanoptoutsystemfororgandonationintheuk.pdf
9. The Convention for the Protection of Human Rights and Human Dignity in terms of the Application of Biology and Medicine: The Law on the Approval of the Convention on Human Rights and Biomedicine. TBMM (2003). Available from: https://www.tbmm.gov.tr/kanunlar/k5013.html
10. ( The Regulation on Organ and Tissue Removal, Preservation, Vaccination and Transplantation (1979). Available from: http://www.mevzuat.gov.tr/MevzuatMetin/1.5.2238.pdf
11. Organ And Tissue Transplantation Services Regulation. Turkish Republic Ministry of Health (2012). Available from: https://www.mevzuat.gov.tr/mevzuat?MevzuatNo=15860&MevzuatTur=7&MevzuatTertip=5
12. May T, Aulisio MP, DeVita MA (2000). Patients, Families, and Organ Donation: Who Should Decide? Milbank Q, 78(2):323-36.
13. Numbers of Active Organ Transplantation Waiting Patients. Turkish Ministry of Health (2019).Available from: https://organkds.saglik.gov.tr/dss/PUBLIC/WL_Hearth.aspx
14. Blood, Organ and Tissue Transplantation Services Department Official Page. Turkish Ministry of Health. Available from: https://organ.saglik.gov.tr/Index.aspx
15. Walker JA, McGrath PJ (1990). The role of family physicians in organ donation. Can Fam Physician, 36:1235-1236.
16. Ladin K, Hanto DW (2012). Family physicians' role in discussing organ donation with patients and the public. Virtual Mentor, 14:194-200.
17. Neuberger J, Keogh A (2013). Organ donation in the UK: how general practice can help. Br J Gen Pract, 63(615): 513–514.
18. Akgün HS, Bilgin N, Tokalak I, et al (2003). Organ donation: a cross-sectional survey of the knowledge and personal views of Turkish health care professionals. Transplant Proc, 35(4):1273-5.
19. The Declaration of Istanbul (2008). Organ trafficking and transplant tourism and commercialism. Lancet, 372(9632):5-6.
20. Jafar TH (2009). Organ trafficking: global solutions for a global problem. Am J Kidney Dis, 54(6):1145-57.
21. Budiani-Saberi DA, Delmonico FL (2008). Organ Trafficking and Transplant Tourism: A Commentary on the Global Realities. Am J Transplant, 8(5):925-9.
22. Daryl Thornton J, Randall Curtis J, et al (2010). Primary Care Physicians' Attitudes and Practices Regarding Discussing Organ Donation With Their Patients. J Natl Med Assoc, 102(1):52-8.
23. Siminoff LA, Arnold RM, Caplan AL (1995). Health care professional attitudes toward donation: effect on practice and procurement. J Trauma, 39(3):553-9.
24. Ward F, Watson A, Holian J (2012). Organ Donation and Transplantation in General Practice. Ir Med J, 105(9):309-11.
25. Bidigare SA, Ellis AR (2000). Family physicians' role in recruitment of organ donors. Arch Fam Med, 9:601-4.
26. E-nabiz Help Documents. Turkish Ministry of Health Available from: https://enabiz.gov.tr/Yardim/Index?lang=en
27. Schaeffner ES, Windisch W, Freidel K, et al (2004). Knowledge and attitude regarding organ donation among medical students and physicians. Transplantation, 77(11):1714-8.
28. Williams MA, Lipsett PA, Rushton CH, et al (2003). The physician’s role in discussing organ donation with families. Crit Care Med, 31(5):1568-73.
29. Özkan S, Yılmaz E (2009). Hasta yakınlarının organ bağışı ile ilgili bilgi ve tutumları. Sosyal Politika Çalışmaları Dergisi, 17:18-29.
30. Eelco FM, Wijdicks MD (2001). The diagnosis of brain death. N Engl J Med, 344:1215-21.
31. Wijdicks EF (2001). The diagnosis of brain death. N Engl J Med, 344:1215-21.
32. Escudero D, Valentín MO, Escalante JL, et al (2015). Intensive care practices in brain death diagnosis and organ donation. Anaesthesia, 70(10):1130-9.
Files
IssueVol 50 No 6 (2021) QRcode
SectionOriginal Article(s)
Published2021-06-10
Keywords
Organ transplantation Organ donation Family physicians Primary care Legal regulations

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Dagcioglu BF, Simsek E, Tepeli R, Oztas D. Organ Donation in Turkey: The Knowledge, Approaches and Opinions of Family Physicians. Iran J Public Health. 50(6):1188-1196.