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- Acute Care Surgery, Medical Academic Research, Office of Chief-HMC, Hamad Medical Corporation (HMC), Doha, Qatar, Post Box: 3050 [1]
- Department of Cardiology & Cardiovascular Surgery, Hamad Medical Corporation, Doha, Qatar, Post Box: 3050 [1]
- Gastroenterology & Hepatology, HMC, Doha, Qatar, Post Box: 3050 [1]
- Hamad General Hospital (HGH), HMC, Doha, Qatar, Post Box: 3050 [1]
- Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar [1]
- Hamad Medical Corporation, QA [1]
- Trauma & Vascular Surgery, HMC, Doha, Qatar, Post Box: 3050 [1]
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Safe and ethical living kidney donation in Qatar: A national health system's approach
The increasing incidence of end-stage kidney disease in Qatar has led to growing demand for donor kidneys. The deceased donor kidney program has yet to achieve its full potential; hence living kidney donation has been widely adopted as an appropriate alternative. The reliance on living kidney donors however raises a number of social ethical and legal concerns surrounding informed consent voluntarism psychosocial evaluation perioperative care and long-term follow-up of living kidney donors. Many of these concerns become heightened in a multicultural multilingual society within a Gulf country such as Qatar. This article provides an insight into the challenges that living kidney donation poses in a multiethnic society with significant socioeconomic divides. It also discusses the remedial measures that the Qatari government healthcare authorities and transplant community have adopted to address these issues.
Healthcare Workers' Perspective of Organ Donation and Transplant in Qatar – A Qualitative Study
Introduction
Organ donation and transplant is still an evolving field in Qatar. In Qatar a qualitative study to understand the perspective of the healthcare workers towards barriers promoters and system level challenges in organ donation and transplant was lacking. Hence very limited literature is available on these issues as are experienced by healthcare workers actually involved in the various stages of this process.
Objectives
The objective of the present study was to conduct a qualitative study using phenomenological approach with the help of focus group discussions to explore (1) Transplant system level issues; and (2) To understand why people choose to or not to register as organ donors.
Methods
Several key stakeholders in the healthcare sector were included in the discussions. Participants were healthcare professionals (a) who are involved in organ donation and transplant activities (coordinators surgeons physicians) and (b) healthcare professionals involved in organ donation promotion campaigns in Qatar.
An experienced moderator from the research team was employed to conduct the discussion and the trained research assistants collected the data. The audio recordings were transcribed by professional transcribers coded using NVivo software analyzed in the light of Theory of Planned Behavior and researches in the similar field and peer reviewed to derive a conclusion.
Results
The study was able to uncover several gaps in the system that are impacting the consent process and leading to under-utilization and wastage of available organs. Some key system level issues identified during the discussions were communication gap between transplant committee and some of the departments doing transplants absence of multidisciplinary teams for organ assessment and participating through various stages of transplant process difficulties arising because of lack of centralized centers for organ donation and transplant where all formalities could be carried out from start till the end and training deficiency reported by campaign volunteers as well as coordinators besides others. Besides this the study was able to enlist the difficulties faced by the healthcare workers working in field of donor registrations and transplant. The study also brought out volunteers' views based on their direct interaction with public on why people choose to or not to register during the organ donation campaigns in Qatar. Finally the study identified some concerns in the process of organ donation and transplant where formulating new policies and protocols or amending existing ones could affect the efficiency positively.
Conclusion
The study concludes that most challenges in organ donation and transplant in Qatar can be dealt with by focusing on creating awareness and educating people about the various issues related to organ donation through continuous campaigns and extensive media coverage of the issue. Consents which are the core issue behind the gap between brain death cases culminating into donors can be improved by ensuring early communication about donation decision by the donor to his/her family. Also under-utilization and wastage could be reduced by transplant committee representation from relevant departments involved in transplants and having multidisciplinary teams to assess the deceased donors' organs and work through the entire transplant process. This study can be referred to for further policy making in the area of organ donation and transplant in Qatar and modifying certain aspects of campaigns to make them more effective.
Prevalence of socio-demographic and behavioral factors about organ donation in Qatar: A household survey
Background: A single organ and tissue donor can serve and save eight-fold lives but availability of organ donors is scarce posing a grim situation for end-stage organ failure worldwide. Knowledge attitudes behaviors and beliefs toward organ donation can help policymakers develop strategies to address the challenges facing organ donation and transplantation in Qatar. Aim: To assess sociodemographic characteristics knowledge attitudes beliefs and intentions regarding organ donation in the household population of Qatar. Methods: A prospective observational household survey was conducted between October and November 2016 in Qatar using a validated questionnaire. One thousand forty-four individuals aged 18 and older residing in eight municipalities in the country were enrolled in the survey. Results: Average age was 38 ± 11 years. There were 27.4% Qatari citizens and 72.6% nonQatari residents in the survey. 48.9% of the total (1044) were males. Knowledge [46% (95% C.I.: 45% − 47%)] attitude [70% (95% C.I.: 66%–74%)] behavioral beliefs [42% (95% C.I.: 39%–50%)] normative beliefs [29% (95% C.I.: 28%–30%)] control beliefs [–27% (95% C.I.: − 24% to − 30%)] and intentions towards organ donation [29% (95% C.I.: 27%–31%)] were observed in the study. Factor analyses were able to explain 70% 72% 70% and 74% variations in knowledge attitude beliefs and intentions domains respectively showing adequacy of construct of the domains for organ donation. Conclusion: Most of the survey participants showed good attitude but less intention towards organ donation.