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Comment & Response
December 2015

Organ Donation and New Policies—Reply: Do We Need to Act Less Generally and More Locally?

Author Affiliations
  • 1Department of Medicine, Brigham and Women’s Hospital, Boston, Massachusetts
  • 2Harvard Medical School, Boston, Massachusetts
  • 3Division of General Internal Medicine, Massachusetts General Hospital, Boston
  • 4Nelson A. Rockefeller Institute of Government, State University of New York, Albany
  • 5Rockefeller College of Public Affairs and Policy, Department of Public Administration and Policy, University at Albany—State University of New York, Albany
JAMA Intern Med. 2015;175(12):2000. doi:10.1001/jamainternmed.2015.6553

In Reply We appreciate the responses from Symvoulakis et al and Bilgel and Galle. We agree that bridging the gap between organ donation and supply will require novel and nuanced approaches.

As Symvoulakis et al discuss, the experience of Greece offers important lessons and supports the case for more research on the local context. While the current state of organ donation data in the United States allows for population-level analyses, the availability of local, granular, standardized data on effective strategies and the use of state resources is scarce. Furthermore, current policies may not be adequately tapping into the true motivations, such as altruism, behind becoming an organ donor. Achieving a deeper understanding of these motivations will require a deeper qualitative and quantitative understanding of community context. We agree that future organ donation efforts will need to rely on such contextual information to design effective strategies.

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