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Open Access Debate

Kidney organ donation: developing family practice initiatives to reverse inertia

Emmanouil K Symvoulakis1*, Emilia Stavroulaki1, Myfanwy Morgan2 and Roger Jones2

Author Affiliations

1 Department of Blood Donation, University General Hospital of Heraklion, Crete, Greece

2 King's College London, Department of Primary Care and Public Health Sciences, London, UK

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BMC Health Services Research 2010, 10:127  doi:10.1186/1472-6963-10-127

Published: 17 May 2010



Kidney transplantation is associated with greater long term survival rates and improved quality of life compared with dialysis. Continuous growth in the number of patients with kidney failure has not been matched by an increase in the availability of kidneys for transplantation. This leads to long waiting lists, higher treatment costs and negative health outcomes.


Misunderstandings, public uncertainty and issues of trust in the medical system, that limit willingness to be registered as a potential donor, could be addressed by community dissemination of information and new family practice initiatives that respond to individuals' personal beliefs and concerns regarding organ donation and transplantation.


Tackling both personal and public inertia on organ donation is important for any community oriented kidney donation campaign.