title: How to increase organ donation:  does opting out have a role?
abstract: Every country needs to increase the number of deceased organ donors and the potential impact of a change to opting-out legislation remains unproven, despite the apparent association between opting out and higher donor rates. However, the Spanish model--so successful in Spain and many other countries--is not based on a requirement for opting out, and, in the UK, deceased organ donation has increased by 25% in 3 years through implementation of a series of recommendations that have transformed the infrastructure of donation. A major review of opting out concluded that it is not appropriate for the UK at this time.
authors.affiliation: Department of Health, London, United Kingdom. cjrudge@btinternet.com
authors.forename: Chris J
authors.initials: CJ
authors.lastname: Rudge
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Buggins
mesh_terms: D026683:Advisory Committees; D006801:Humans; D038622:Internationality; D019724:Presumed Consent / Q000331:legislation & jurisprudence*; D013030:Spain; D014019:Tissue Donors / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data / Q000600:supply & distribution; D009927:Tissue and Organ Procurement / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D006113:United Kingdom