{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T05:17:01Z","timestamp":1791523021927,"version":"4.3.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2018,4,29]],"date-time":"2018-04-29T00:00:00Z","timestamp":1524960000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001345","name":"South Africa Netherlands research Programme on Alternatives in Development","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001345","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Prog Transpl"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>South Africa is faced with very low deceased organ donor numbers. Often, sociocultural practices, which are thought to be fundamentally opposed to deceased organ donation, are hailed as the cause. However, other factors such as context, social perceptions, and clinical environment may play a role.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim:<\/jats:title>\n                    <jats:p>The aim of this article is to present research that explored communication in organ transplant and identified barriers to organ donation decisions in a province of South Africa.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Qualitative methods were used. Thirty semistructured interviews with transplant professionals and 2 focus groups with transplant coordinators took place across 6 health institutions in Gauteng Province.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Barriers that may prevent transplant professionals from referring potential donors were identified: The wider public and transplant professionals may be suspicious of biomedicine and have a perception that people could be killed for their organs. Organ donation was sometimes framed as \u201cmurder,\u201d \u201ckilling,\u201d or a \u201cbunch of vultures.\u201d Doctors may be unwilling to refer brain-dead patients, as this was seen as failing in one\u2019s professional duty to cure the patient. The role of sociocultural practices was inconclusive, with the sample divided based on the extent of their influence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Low donor numbers may be a manifestation of barriers to referral in the clinical setting. These barriers interplay in a context of suspicion and are framed by a clinical transplant discourse that is sometimes loaded with negative connotation. Sociocultural practices are influential, but they may not be the overriding cause of low donor numbers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1526924818765819","type":"journal-article","created":{"date-parts":[[2018,4,30]],"date-time":"2018-04-30T00:10:31Z","timestamp":1525047031000},"page":"163-169","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["A Qualitative Analysis of South African Health Professionals\u2019 Discussion on Distrust and Unwillingness to Refer Organ Donors"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2581-5754","authenticated-orcid":false,"given":"Harriet Rosanne","family":"Etheredge","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg"},{"name":"Wits Donald Gordon Medical Centre, Johannesburg, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Penn","sequence":"additional","affiliation":[{"name":"Health Communication Research Unit, University of the Witwatersrand, Johannesburg, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Watermeyer","sequence":"additional","affiliation":[{"name":"Health Communication Research Unit, University of the Witwatersrand, Johannesburg, South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,4,29]]},"reference":[{"key":"bibr1-1526924818765819","unstructured":"Organ Donor Foundation of South Africa. 2017. https:\/\/www.odf.org.za\/. Accessed March 13, 2018."},{"key":"bibr2-1526924818765819","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31499-X"},{"key":"bibr3-1526924818765819","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1408896"},{"key":"bibr4-1526924818765819","unstructured":"International Registry in Organ Donation and Transplantation. Preliminary Numbers. 2015. http:\/\/www.irodat.org\/img\/database\/pdf\/NEWSLETTER2016_SecondEdition.pdf. Accessed March 13, 2018."},{"key":"bibr5-1526924818765819","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-0012.1999.130606.x"},{"key":"bibr6-1526924818765819","doi-asserted-by":"publisher","DOI":"10.4102\/curationis.v27i3.995"},{"key":"bibr7-1526924818765819","doi-asserted-by":"publisher","DOI":"10.7196\/samj.7519"},{"key":"bibr8-1526924818765819","unstructured":"Etheredge HR. \u201cHey sister! where\u2019s my kidney?\u201d: exploring ethics and communication in organ transplantation in Gauteng, South Africa. University of the Witwatersrand. 2015. http:\/\/wiredspace.wits.ac.za\/handle\/10539\/21425. Accessed March 13, 2018."},{"key":"bibr9-1526924818765819","doi-asserted-by":"publisher","DOI":"10.4236\/health.2016.812131"},{"key":"bibr10-1526924818765819","volume-title":"Curing Their Ills: Colonial power and African Illness","author":"Vaughn M","year":"1991"},{"key":"bibr11-1526924818765819","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.12277"},{"key":"bibr12-1526924818765819","unstructured":"Hassan F, Sole S. Kidneygate: what the Netcare bosses really knew. Mail and Guardian. 2011. http:\/\/mg.co.za\/article\/2011-04-29-kidneygate-what-the-netcare-bosses-really-knew\/ (February 12, 2014). Accessed March 13, 2018."},{"key":"bibr13-1526924818765819","first-page":"76","volume-title":"Global Human Trafficking: Critical Issues and Contexts","author":"Scheper-Hughes N","year":"2014"},{"key":"bibr14-1526924818765819","volume-title":"Palgrave Pivot","author":"Lundin S","year":"2016"},{"key":"bibr15-1526924818765819","doi-asserted-by":"crossref","first-page":"A85","DOI":"10.1136\/bmjspcare-2015-001041","volume":"6","author":"Taylor V","year":"2016","journal-title":"BMJ Support Palliat Care"},{"key":"bibr16-1526924818765819","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000001117"},{"key":"bibr17-1526924818765819","volume-title":"Qualitative Methods for Health Research. 3rd ed","author":"Green J","year":"2014"},{"key":"bibr18-1526924818765819","first-page":"95","volume-title":"Qualitative Research in Clinical Health Psychology","author":"Braun V","year":"2014"},{"key":"bibr19-1526924818765819","doi-asserted-by":"publisher","DOI":"10.12968\/bjon.2016.25.6.307"},{"key":"bibr20-1526924818765819","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2012.301200"},{"key":"bibr21-1526924818765819","doi-asserted-by":"publisher","DOI":"10.1007\/s00101-014-2406-8"},{"key":"bibr22-1526924818765819","doi-asserted-by":"publisher","DOI":"10.1097\/JNR.0b013e3181c0038d"},{"key":"bibr23-1526924818765819","doi-asserted-by":"publisher","DOI":"10.1111\/jgh.13492"},{"key":"bibr24-1526924818765819","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.14028"},{"key":"bibr25-1526924818765819","volume-title":"Medicine as Culture","author":"Lupton D","year":"2012","edition":"3"},{"key":"bibr26-1526924818765819","doi-asserted-by":"publisher","DOI":"10.1097\/01376517-199902000-00005"},{"key":"bibr27-1526924818765819","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12412"},{"key":"bibr28-1526924818765819","doi-asserted-by":"publisher","DOI":"10.1007\/s10730-014-9241-9"}],"container-title":["Progress in Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526924818765819","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1526924818765819","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1526924818765819","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T05:39:36Z","timestamp":1777700376000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1526924818765819"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,29]]},"references-count":28,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,6]]}},"alternative-id":["10.1177\/1526924818765819"],"URL":"https:\/\/doi.org\/10.1177\/1526924818765819","relation":{},"ISSN":["1526-9248","2164-6708"],"issn-type":[{"value":"1526-9248","type":"print"},{"value":"2164-6708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,29]]}}}