Kieran Healy
- Published in print:
- 2006
- Published Online:
- February 2013
- ISBN:
- 9780226322353
- eISBN:
- 9780226322384
- Item type:
- chapter
- Publisher:
- University of Chicago Press
- DOI:
- 10.7208/chicago/9780226322384.003.0003
- Subject:
- Sociology, Culture
This chapter investigates why some organ procurement organizations (OPOs) manage to collect more organs than others. It evaluates the structural and organizational forces at work in the procurement ...
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This chapter investigates why some organ procurement organizations (OPOs) manage to collect more organs than others. It evaluates the structural and organizational forces at work in the procurement process. These include the service populations of OPOs, their size and operating budget, their logistical scope, and their procurement policies and strategies. This chapter also considers other factors such as individual decisions to sign a donor card, mortality rates and road safety laws.Less
This chapter investigates why some organ procurement organizations (OPOs) manage to collect more organs than others. It evaluates the structural and organizational forces at work in the procurement process. These include the service populations of OPOs, their size and operating budget, their logistical scope, and their procurement policies and strategies. This chapter also considers other factors such as individual decisions to sign a donor card, mortality rates and road safety laws.
Kieran Healy
- Published in print:
- 2006
- Published Online:
- February 2013
- ISBN:
- 9780226322353
- eISBN:
- 9780226322384
- Item type:
- book
- Publisher:
- University of Chicago Press
- DOI:
- 10.7208/chicago/9780226322384.001.0001
- Subject:
- Sociology, Culture
More than any other altruistic gesture, blood and organ donation exemplifies the true spirit of self-sacrifice. Donors literally give of themselves for no reward so that the life of an ...
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More than any other altruistic gesture, blood and organ donation exemplifies the true spirit of self-sacrifice. Donors literally give of themselves for no reward so that the life of an individual—often anonymous—may be spared. But as the demand for blood and organs has grown, the value of a system that depends solely on gifts has been called into question, and the possibility has surfaced that donors might be supplemented or replaced by paid suppliers. This book offers a fresh perspective on this ethical dilemma by examining the social organization of blood and organ donation in Europe and the United States. Gifts of blood and organs are not given everywhere in the same way or to the same extent—contrasts that allow the book to uncover the pivotal role that institutions play in fashioning the contexts for donations. Procurement organizations, it shows, sustain altruism by providing opportunities to give and by producing public accounts of what giving means. In the end, the book suggests, successful systems rest on the fairness of the exchange, rather than the purity of a donor's altruism or the size of a financial incentive.Less
More than any other altruistic gesture, blood and organ donation exemplifies the true spirit of self-sacrifice. Donors literally give of themselves for no reward so that the life of an individual—often anonymous—may be spared. But as the demand for blood and organs has grown, the value of a system that depends solely on gifts has been called into question, and the possibility has surfaced that donors might be supplemented or replaced by paid suppliers. This book offers a fresh perspective on this ethical dilemma by examining the social organization of blood and organ donation in Europe and the United States. Gifts of blood and organs are not given everywhere in the same way or to the same extent—contrasts that allow the book to uncover the pivotal role that institutions play in fashioning the contexts for donations. Procurement organizations, it shows, sustain altruism by providing opportunities to give and by producing public accounts of what giving means. In the end, the book suggests, successful systems rest on the fairness of the exchange, rather than the purity of a donor's altruism or the size of a financial incentive.
Charles L. Bosk
- Published in print:
- 2006
- Published Online:
- September 2014
- ISBN:
- 9780807830598
- eISBN:
- 9781469605432
- Item type:
- chapter
- Publisher:
- University of North Carolina Press
- DOI:
- 10.5149/9780807877524_wailoo.8
- Subject:
- History, Social History
This chapter examines the transplant error in the Jesica Santillan's case and the main actors in the story (from Duke University Medical Center to Carolina Donor Services, from the United Network for ...
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This chapter examines the transplant error in the Jesica Santillan's case and the main actors in the story (from Duke University Medical Center to Carolina Donor Services, from the United Network for Organ Sharing (UNOS) to the surgeon Jim Jaggers) in order to frame our understanding of medical mistakes as individual, institutional, and system-wide phenomena. Jesica's story illustrates how stakeholders transform celebrated cases to provoke discussions in public arenas and use as dramatic examples of formulating policies to prevent and/or reduce medical errors and achieve patient safety. Focusing on the theoretical understandings of systems error, the chapter analyzes how this mistake was understood at the time and examines the steps taken by the Organ Procurement Organizations (OPOs) and Duke to reassure the public that the causes of this error had been discovered and fixed.Less
This chapter examines the transplant error in the Jesica Santillan's case and the main actors in the story (from Duke University Medical Center to Carolina Donor Services, from the United Network for Organ Sharing (UNOS) to the surgeon Jim Jaggers) in order to frame our understanding of medical mistakes as individual, institutional, and system-wide phenomena. Jesica's story illustrates how stakeholders transform celebrated cases to provoke discussions in public arenas and use as dramatic examples of formulating policies to prevent and/or reduce medical errors and achieve patient safety. Focusing on the theoretical understandings of systems error, the chapter analyzes how this mistake was understood at the time and examines the steps taken by the Organ Procurement Organizations (OPOs) and Duke to reassure the public that the causes of this error had been discovered and fixed.
