Lung transplantation and organ allocation in Brazil: necessity or utility

ABSTRACT The philosophy of organ allocation is the result of two seemingly irreconcilable principles: utilitarianism and distributive justice. The process of organ donation and transplantation in Brazil reveals large inequalities between regions and units of the Federation, from the harvesting of or...

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Main Authors: Edison Moraes Rodrigues-Filho, Cristiano Augusto Franke, José Roque Junges
Format: Article
Language:English
Published: Universidade de São Paulo 2019-02-01
Series:Revista de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100501&lng=en&tlng=en
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author Edison Moraes Rodrigues-Filho
Cristiano Augusto Franke
José Roque Junges
author_facet Edison Moraes Rodrigues-Filho
Cristiano Augusto Franke
José Roque Junges
author_sort Edison Moraes Rodrigues-Filho
collection DOAJ
description ABSTRACT The philosophy of organ allocation is the result of two seemingly irreconcilable principles: utilitarianism and distributive justice. The process of organ donation and transplantation in Brazil reveals large inequalities between regions and units of the Federation, from the harvesting of organs to their implantation. In this context, lung transplantation is performed in only a few centers in the country and is still a treatment with limited long-term results. The allocation of the few organs harvested for the few procedures performed is defined mainly by chronology, a criterion that is not linked to necessity, which is a criterion of distributive justice, and neither to utility, a criterion of utilitarianism. This article reviews the organ allocation philosophy focusing on the case of lung transplantations in Brazil.
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spelling doaj.art-e91a3657c4bc474aabe819240eea4bd92022-12-21T21:17:15ZengUniversidade de São PauloRevista de Saúde Pública1518-87872019-02-0153010.11606/s1518-8787.2019053000445S0034-89102019000100501Lung transplantation and organ allocation in Brazil: necessity or utilityEdison Moraes Rodrigues-FilhoCristiano Augusto FrankeJosé Roque JungesABSTRACT The philosophy of organ allocation is the result of two seemingly irreconcilable principles: utilitarianism and distributive justice. The process of organ donation and transplantation in Brazil reveals large inequalities between regions and units of the Federation, from the harvesting of organs to their implantation. In this context, lung transplantation is performed in only a few centers in the country and is still a treatment with limited long-term results. The allocation of the few organs harvested for the few procedures performed is defined mainly by chronology, a criterion that is not linked to necessity, which is a criterion of distributive justice, and neither to utility, a criterion of utilitarianism. This article reviews the organ allocation philosophy focusing on the case of lung transplantations in Brazil.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100501&lng=en&tlng=enTransplante de Pulmão, legislação & jurisprudênciaTemas BioéticosDireito à Saúde
spellingShingle Edison Moraes Rodrigues-Filho
Cristiano Augusto Franke
José Roque Junges
Lung transplantation and organ allocation in Brazil: necessity or utility
Revista de Saúde Pública
Transplante de Pulmão, legislação & jurisprudência
Temas Bioéticos
Direito à Saúde
title Lung transplantation and organ allocation in Brazil: necessity or utility
title_full Lung transplantation and organ allocation in Brazil: necessity or utility
title_fullStr Lung transplantation and organ allocation in Brazil: necessity or utility
title_full_unstemmed Lung transplantation and organ allocation in Brazil: necessity or utility
title_short Lung transplantation and organ allocation in Brazil: necessity or utility
title_sort lung transplantation and organ allocation in brazil necessity or utility
topic Transplante de Pulmão, legislação & jurisprudência
Temas Bioéticos
Direito à Saúde
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102019000100501&lng=en&tlng=en
work_keys_str_mv AT edisonmoraesrodriguesfilho lungtransplantationandorganallocationinbrazilnecessityorutility
AT cristianoaugustofranke lungtransplantationandorganallocationinbrazilnecessityorutility
AT joseroquejunges lungtransplantationandorganallocationinbrazilnecessityorutility