The potential use of financial compensation to increase living kidney donation rates remains controversial in potentially introducing undue inducement of vulnerable populations to donate. This cross-sectional study assessed amounts of financial compensation that would generate motivation and an undue inducement to donate to family/friends or strangers. Individuals leaving six Departments of Motor Vehicles were surveyed. Of the 210 participants who provided verbal consent (94% participation rate), respondents' willingness to donate would not change (70%), or would increase (29%) with compensation. Median lowest amounts of financial compensation for which participants would begin to consider donating a kidney were $5000 for family/friends, and $10000 for strangers; respondents reporting $0 for family/friends (52%) or strangers (26%) were excluded from analysis. Median lowest amounts of financial compensation for which participants could no longer decline (perceive an undue inducement) were $50000 for family/friends, and $100000 for strangers; respondents reporting $0 for family/friends (44%) or strangers (23%) were excluded from analysis. The two most preferred forms of compensation included: direct payment of money (61%) and paid leave (21%). The two most preferred uses of compensation included: paying off debt (38%) and paying nonmedical expenses associated with the transplant (29%). Findings suggest tolerance for, but little practical impact of, financial compensation. Certain compensation amounts could motivate the public to donate without being perceived as an undue inducement. In this cross-sectional survey study, the researchers report that willingness to donate a kidney as a living donor would not change (70%) or would increase (29%) with financial compensation, suggesting tolerance for, but little practical impact of, financial compensation.
|Number of pages||9|
|Journal||American Journal of Transplantation|
|State||Published - Jan 1 2015|
Bibliographical notePublisher Copyright:
© Copyright 2014 The American Society of Transplantation and the American Society of Transplant Surgeons.
ASJC Scopus subject areas
- Immunology and Allergy
- Pharmacology (medical)