title: Financial considerations in living organ donation.
abstract: The shortage of cadaveric organs and increased success of living donor transplantation support the use of living organ donors. Clinical social workers have the opportunity to explore a variety of donor-specific issues when performing psychosocial evaluations of living donors, including motivation, psychological stability, and personal and family consequences of donation, as well as the direct and indirect financial consequences faced by living donors. Although most donor-related medical costs are covered, other associated expenses are not reimbursable and may put donors at risk for financial hardship. Out-of-pocket expenses also serve as a disincentive to donate for some volunteers. During the evaluation process, healthcare professionals should openly discuss how surgery, recovery, and any potential complications might impact prospective donors' financial situation. Donors can then decide whether they are able to realistically handle the costs of donation. We present the financial dilemmas experienced by many living donors and highlight efforts that have been made to deal with them.
authors.affiliation: Fairview University Medical Center, Minneapolis, Minn, USA.
authors.forename: Cheryl
authors.initials: C
authors.lastname: Jacobs
authors.forename: Charlie
authors.initials: C
authors.lastname: Thomas
mesh_terms: D000041:Absenteeism; D017281:Cost of Illness; D005382:Financing, Personal / Q000191:economics; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006801:Humans; D007349:Insurance, Health, Reimbursement / Q000191:economics; D019520:Living Donors / Q000523:psychology; D009042:Motivation; D018579:Patient Selection; D011788:Quality of Life; D012947:Social Work; D009927:Tissue and Organ Procurement / Q000191:economics*