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General practitioners (GPs) support organ donation after euthanasia (ODE) by prioritizing patient autonomy. Improved guidelines and early coordinator involvement can enhance ODE care in Dutch general practice.

Keywords:
doctor–patient relationshipeuthanasia/Medical Aid in Dyingorgan donationpalliative care/end-of-life carequalitative research

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Area of Science:

  • Medical Ethics
  • End-of-Life Care
  • Organ Donation

Background:

  • General practitioners (GPs) are pivotal in organ donation after euthanasia (ODE).
  • Understanding GP perspectives on ODE is crucial for patient-centered care and guideline improvement.

Purpose of the Study:

  • To explore Dutch GPs' knowledge and perspectives on medical, ethical, and logistical aspects of ODE.
  • To identify barriers and facilitators for effective ODE implementation in general practice.

Main Methods:

  • An exploratory online questionnaire study was conducted among Dutch GPs.
  • Data analysis included descriptive statistics for quantitative data and thematic analysis for qualitative data.

Main Results:

  • Most GPs (78%) were aware of ODE, with a positive or neutral stance (97%).
  • Patient autonomy was central, with varied opinions on the timing of ODE discussions.
  • Concerns about workload and emotional impact led to hesitancy in initiating ODE for some GPs (52%).

Conclusions:

  • GPs utilize flexible, patient-tailored approaches in ODE, emphasizing patient autonomy.
  • Enhanced ODE care in Dutch general practice requires early organ donation coordinator involvement, improved guidelines, and clear patient information.