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Organ donation as transition work: Policy discourse and clinical practice in The Netherlands.
Paul, Katharina T; Avezaat, Cees J J; Ijzermans, Jan N; Friele, Roland D; Bal, Roland A.
Afiliação
  • Paul KT; University of Vienna, Austria katharina.t.paul@univie.ac.at.
  • Avezaat CJ; Erasmus Medical Center, The Netherlands.
  • Ijzermans JN; Erasmus Medical Center, The Netherlands.
  • Friele RD; Netherlands Institute for Health Services Research (NIVEL), The Netherlands.
  • Bal RA; Erasmus University Rotterdam, The Netherlands.
Health (London) ; 18(4): 369-87, 2014 Jul.
Article em En | MEDLINE | ID: mdl-24084010
An increasing number of patients become eligible for organ transplants. In the Netherlands, at the level of policy discourse, growing waiting lists are often referred to as a persistent "shortage" of organs, producing a "public health crisis." In this way, organ donation is presented as an ethical, social, and medical necessity. Likewise, policy discourse offers a range of seemingly unambiguous solutions: improving logistical infrastructure at the level of hospitals, developing organizational and legal protocols, as well as public information campaigns. Instead of taking these problem and solution definitions as given, we critically examine the relationship between policy discourse and clinical practice. Based on a historical review, first, we trace the key moments of transformation where organ donation became naturalized in Dutch policy discourse, particularly in its altruistic connotation. Second, based on in-depth interviews with medical professionals, we show how those involved in organ donation continue to struggle with the controversial nature of their clinical practice. More specifically, we highlight their use of different forms of knowledge that underlie clinicians' "transition work": from losing a patient to "gaining" a donor.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obtenção de Tecidos e Órgãos / Listas de Espera / Política de Saúde Tipo de estudo: Guideline / Prognostic_studies / Qualitative_research Limite: Humans País/Região como assunto: Europa Idioma: En Ano de publicação: 2014 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obtenção de Tecidos e Órgãos / Listas de Espera / Política de Saúde Tipo de estudo: Guideline / Prognostic_studies / Qualitative_research Limite: Humans País/Região como assunto: Europa Idioma: En Ano de publicação: 2014 Tipo de documento: Article