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Title: Achievements and barriers in the organ donation process: A critical analysis of donation coordinators' discourse
Author: Mercado-Martinez, F.
Diaz-Medina, B.
Hernandez-Ibarra, E.
Issue Date: 2013
Abstract: Context-Donation coordinators play an important role in the success or failure of organ donation and transplant programs. Nevertheless, these professionals' perspectives and practices have hardly been explored, particularly in low-and middle-income countries.Objective-To examine donation coordinators' discourse on the organ donation process and the barriers they perceive.Design-A critical qualitative study was carried out in Guadalajara, Mexico.Setting and Participants-Twelve donation coordinators from public and private hospitals participated.Data Gathering and Analysis-Data were gathered by using semistructured interviews and critical discourse analysis.Results- Participants indicated that partial results have been achieved in deceased organ donation. Concomitantly, multiple obstacles have adversely affected the process and outcomes: at the structural level, the fragmentation of the health system and the scarcity of financial and material resources; at the relational level, nonegalitarian relationships between coordinators and hospital personnel; at the ideational level, the transplant domain and its specialists overshadow the donation domain and its coordinators. Negative images are associated with donation coordinators.Conclusions-Organ donation faces structural, relational, and ideational barriers; hence, complex interventions should be undertaken. Donation coordinators also should be recognized by the health system. © 2013 NATCO.
Appears in Collections:Producción científica UdeG (prueba)

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