O rgan donation could be significantly increased if the request for organ donation is made after ... more O rgan donation could be significantly increased if the request for organ donation is made after the family is informed of the patient's death, as reported in a 1991 study 1 conducted by the Kentucky Organ Donor Affiliates and researchers at the Universities of Louisville and Kentucky. This report caused a stir of excitement in the organ procurement community. Could this be the "magic bullet" everyone had been searching for to transform disappointing consent rates into those that match the public's enthusiasm for organ donation as reported in public opinion polls? Although the process of separating the death pronouncement from the request for donation has come to be known as "decoupling," its actual implementation is unclear. Numerous organ procurement organizations (OPOs) have tried to institute decoupling-some swear by it, others do not. This paper defines what decoupling is and what past studies have reported to be the success of decoupling. We also provide data from a large national study that examines the impact of a variety of factors, including characteristics of families, patients, requestors, and the hospital environment and the request and communication process of consent to organ donation to determine the value of decoupling.
BACKGROUND. Decisions to refer patients to other physicians for care or consultation are an impor... more BACKGROUND. Decisions to refer patients to other physicians for care or consultation are an important component of the provision of ap-propriate care for cancer patients. However, little is known about the referral process be-tween specialists. OBJECTIVES. To examine the ...
O rgan donation could be significantly increased if the request for organ donation is made after ... more O rgan donation could be significantly increased if the request for organ donation is made after the family is informed of the patient's death, as reported in a 1991 study 1 conducted by the Kentucky Organ Donor Affiliates and researchers at the Universities of Louisville and Kentucky. This report caused a stir of excitement in the organ procurement community. Could this be the "magic bullet" everyone had been searching for to transform disappointing consent rates into those that match the public's enthusiasm for organ donation as reported in public opinion polls? Although the process of separating the death pronouncement from the request for donation has come to be known as "decoupling," its actual implementation is unclear. Numerous organ procurement organizations (OPOs) have tried to institute decoupling-some swear by it, others do not. This paper defines what decoupling is and what past studies have reported to be the success of decoupling. We also provide data from a large national study that examines the impact of a variety of factors, including characteristics of families, patients, requestors, and the hospital environment and the request and communication process of consent to organ donation to determine the value of decoupling.
BACKGROUND. Decisions to refer patients to other physicians for care or consultation are an impor... more BACKGROUND. Decisions to refer patients to other physicians for care or consultation are an important component of the provision of ap-propriate care for cancer patients. However, little is known about the referral process be-tween specialists. OBJECTIVES. To examine the ...
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Papers by amy zhang