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. Author manuscript; available in PMC: 2013 Feb 1.
Published in final edited form as: Am J Transplant. 2011 Dec 17;12(2):306–312. doi: 10.1111/j.1600-6143.2011.03881.x

Table 2.

Guidelines for development of a regulated system of incentives for deceased and living donation

  1. Each country implementing a system of incentives should have a legal and regulatory framework for the process.

  2. The entire process must be transparent and subject to government and international oversight.

  3. The incentive should be provided by the state or state-recognized third party. Under well-defined, transparent and regulated circumstances, prospective recipients may help fund a charity that supports the program. There is no direct payment from the recipient to the donor and supporting the charity will not result in advancement on the waiting list.

  4. Allocation of the organ(s) should be performed according to the single recognized system of that country (similar to UNOS in the United States) using a predefined and transparent algorithm so that everyone on the list has an opportunity to be transplanted. Kidneys would be allocated to the number 1 person on the list (as determined by defined and transparent criteria).

  5. There should be a plan for administration and for rigorous oversight to ensure that criteria for evaluation, acceptance, allocation and provision of the incentive to the donor (or donor family) are being followed.

  6. The donation should be anonymous and nondirected.

  7. No other solid organ donor incentive plan would be legal.

  8. There should be legislation to govern wrongdoing and how centers would be censured, including criminal sanctions and fines, if wrongdoing is identified.