Preventing waste
A ritual analysis of candidate selection for kidney transplantation
Bibliographic Data
| ID | 2187183 |
|---|---|
| Authors | Elisa J Gordon (0000-0003-0969-1998, University of Chicago, corresponding author) |
| Year | 2000 |
| Volume | 7 |
| Issue | 3 |
| Pages | 351-372 |
| Publication date | 2000-12-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Anthropology and Medicine (JOURNAL) |
| Journal identifiers | ISSN: 1364-8470 • E-ISSN: 1469-2910 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/713650608 |
| OpenAlex | W2014634748 |
| Language | EN |
| Citations received | 11 |
| References cited | 40 |
To examine how sociocultural factors influence transplant professionals' decisions about placing patients on the national transplant waiting list, I observed discussions at 15 candidate selection meetings at one urban transplant center. Transplant professionals are uncertain about whether to place marginally suitable candidates on the waiting list. Uncertainty derives from competing cultural and ethical imperatives: ensuring equal access to transplantation and efficient use of scarce kidneys to prevent waste. Patients with psychosocial contraindications to transplantation, e.g. noncompliance, drug use, ambivalence, present this ethical challenge most sharply to transplant professionals. Transplant professionals deal with this by either: routinely discussing patients' potential for noncompliance or delaying noncompliant patients' access to the waiting list through a probationary contract. Through ritual analysis of transplant candidate selection meetings, I explain why these approaches are pragmatic in that they help the transplant team resolve conflict between their competing values and thus resolve their uncertainty about wait-listing marginal patients for transplantation
Ambivalence · Intensive care medicine · Political science · Psychiatry · Psychosocial · Selection (genetic algorithm · Sociocultural evolution · Waiting list · Blood donation and transfusion practices · Grief, Bereavement, and Mental Health · Law · Medicine · Organ Donation and Transplantation · Psychology · Social Psychology · Surgery · Transplantation
Veins of Devotion
Empirical methods for bioethics
Choosing dialysis modality
Cadaver Donation as Ascetic Practice in India
Patterning the geographies of organ transplantation
Generosity and compliance
The chosen and the unchosen
The Anthropology of Organ Transplantation
When the state and your kidneys fail
Veinglory
Guardians of 'the gift
Catharsis in healing, ritual, and drama
Spare Parts
Tenacious Assumptions in Western Medicine
Decision making during serious illness
The Interpretation of Cultures
Magic Science And Religion
Why Doctors Don't Disclose Uncertainty
The Social Construction of a Machine
Experiencing Ritual
Performance and the Cultural Construction of Reality
Cultural Conceptions of Mental Health and Therapy
Variation in hemodialysis patient compliance according to demographic characteristics
From the Native's Point of View
The Student-Physician
The troubled dream of life
Organ Transplantation as a Transformative Experience
Ritual in the Operating Room
The Elementary Forms of Religious Life
The Rites of Passage
The Predicament of Culture
Culture, Thought, and Social Action
The Gift
Organ Wars
| Unique citing works | 11 |
|---|---|
| Citations per year | 0,52 |
| Citation span | 2005 - 2022 (18) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 10 |