P3.3 Presumed donor in the opinion of Mexican health personnel
Saturday March 25, 2023 from 18:00 to 19:15
Zilker 1-2
Presenter

Mara Medeiros, Mexico

Chief

Nephrology Research and Diagnosis Unit

Hospital Infantil de Mexico Federico Gonez

Abstract

Presumed donor in the opinion of mexican health personnel

Carlos Martínez1, Josefina Alberu2, Rodrigo Lopez-Falcony3, Mara Medeiros1.

1Nephrology and Bone Mineral Metabolism Research and Diagnosis Unit, Children's Hospital of Mexico Federico Gómez, Cuauhtemoc, , Mexico; 2School of Medicine, Tecnologico de Monterrey, Tlalpan, , Mexico; 3State Transplant Center, Secretaria de salud, Guanajuato, , Mexico

Introduction: Presumed consent (Opt out) is an organ donation policy for transplant purposes that assumes that everyone becomes a donor at death unless there is evidence that the individual decided otherwise during life. In Mexico there is a tacit consent (Opt in) that requires obtaining the consent of the family to be able to procure organs from someone who has died, currently the idea of ​​being able to implement the policy of donor by presumed consent is being explored through a reform of the General Law of Health.
Objectives: To know the general position of health personnel related to the ​​transplants area, who may or not be members of the Mexican Society of Transplants about the legal figure of the presumed donor and if its implementation in the Mexican Health System would be feasible.
Materials and methods: Health personnel related to the transplant area were invited to participate in a questionnaire. The questions included: Age, occupation, place of work, if they were aware of the law reform proposal, if they considered that said reform would solve the problems of transplants in Mexico, and finally, some measures or strategies that could be taken with a Likert scale. The answers were disaggregated according to the professional profile for analysis.
Results: There were 346 responses, 149 from medical staff and 197 from nursing staff. 69% of the nursing staff consider that presumed consent would improve the outlook for transplants in the country, otherwise 66% of doctors who think it wouldn’t be an improval. Both groups agree that more specific economic resources should be allocated to transplants, as well as guaranteeing patients access to universal and free coverage for surgery and immunosuppression.
Conclusions: It is important to propose strategies that allow equitable access to health to increase donation rates and improve transplant outcomes.


Lectures by Mara Medeiros


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