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dc.contributor.authorMcGrath, Pamela
dc.contributor.authorHolewa, H
dc.date.accessioned2017-05-03T14:06:54Z
dc.date.available2017-05-03T14:06:54Z
dc.date.issued2012
dc.date.modified2013-06-20T04:07:11Z
dc.identifier.issn14456354
dc.identifier.urihttp://hdl.handle.net/10072/51698
dc.description.abstractIntroduction: There has been no research exploring the financial impact on the live renal donor in terms of testing, hospitalisation and surgery for kidney removal (known as nephrectomy). The only mention of financial issues in relation to live renal transplantation is the recipients' concerns in relation to monetary payment for the gift of a kidney and the recipients' desire to pay for the costs associated with the nephrectomy. The discussion in this article posits a new direction in live renal donor research; that of understanding the financial impact of live renal donation on the donor to inform health policy and supportive care service delivery. The findings have specific relevance for live renal donors living in rural and remote locations of Australia. Methods: The findings are presented from the first interview (time 1: T1) of a set of four times (time 1 to time 4: T1-T4) from a longitudinal study that explored the experience of live renal donors who were undergoing kidney removal (nephrectomy) at the Renal Transplantation Unit at the Princess Alexandra Hospital, Brisbane, Australia. A qualitative methodological approach was used that involved semi-structured interviews with prospective living kidney donors (n=20). The resulting data were analysed using the qualitative research methods of coding and thematic analysis. Results: The findings indicate that live renal donors in non-metropolitan areas report significant financial concerns in relation to testing, hospitalisation and surgery for nephrectomy. These include the fact that bulk billing (no cost to the patient for practitioner's service) is not always available, that individuals have to pay up-front and that free testing at local public hospitals is not available in some areas. In addition, non-metropolitan donors have to fund the extra cost of travel and accommodation when relocating for the nephrectomy to the specialist metropolitan hospital. Conclusion: Live renal transplantation is an important new direction in medical care that has excellent long-term results for individuals diagnosed with end-stage renal disease. An essential element of the transplantation procedure is the voluntary donation of a healthy kidney by the live renal donor. Such an altruistic gift, which has no personal health benefit for the donor, is to be applauded and supported. The present research demonstrates that for some donors, particularly those living outside the metropolitan area, the gift may also include a range of financial costs to the donor. There is no prior research available on the financial impact of live renal donation for individuals living in non-metropolitan areas. Thus, this article is a seminal work in the area. The findings affirm 'rural disadvantage' by demonstrating that it is the live renal donors in non-metropolitan areas who are reporting financial concerns in relation to testing, hospitalisation and surgery for nephrectomy. It is the hope and expectation that the reporting on these costs will encourage further work in this area and the findings will be used for health policy and service delivery considerations.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.format.extent233755 bytes
dc.format.mimetypeapplication/pdf
dc.languageEnglish
dc.publisherAustralian Rural Health Education Network
dc.publisher.placeAustralia
dc.publisher.urihttp://www.rrh.org.au/articles/showarticlenew.asp?ArticleID=2144
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom2144-1
dc.relation.ispartofpageto2144-10
dc.relation.ispartofissue1
dc.relation.ispartofjournalRural and Remote Health
dc.relation.ispartofvolume12
dc.rights.retentionY
dc.subject.fieldofresearchPublic Health and Health Services not elsewhere classified
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchSpecialist Studies in Education
dc.subject.fieldofresearchcode111799
dc.subject.fieldofresearchcode1110
dc.subject.fieldofresearchcode1117
dc.subject.fieldofresearchcode1303
dc.title'It's a regional thing': financial impact of renal transplantation on live donors
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.facultyGriffith Health, School of Human Services and Social Work
gro.rights.copyright© The Author(s) 2012. The attached file is reproduced here in accordance with the copyright policy of the publisher. Please refer to the journal's website for access to the definitive, published version.
gro.date.issued2012
gro.hasfulltextFull Text
gro.griffith.authorMcGrath, Pamela D.


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