City Research Online

When is directed deceased donation justified? Practical, ethical, and legal issues

Shaw, D., Gardiner, D., Ploeg, R. , Floden, A., Cooper, J. ORCID: 0000-0002-3295-8593, Pérez-Blanco, A., Wind, T., Dijkhuizen, L., Jansen, N. & Haase-Kromwijk, B. (2024). When is directed deceased donation justified? Practical, ethical, and legal issues. Journal of the Intensive Care Society, doi: 10.1177/17511437241231705


This paper explores whether directed deceased organ donation should be permitted, and if so under which conditions. While organ donation and allocation systems must be fair and transparent, might it be “one thought too many” to prevent directed donation within families? We proceed by providing a description of the medical and legal context, followed by identification of the main ethical issues involved in directed donation, and then explore these through a series of hypothetical cases similar to those encountered in practice. Ultimately, we set certain conditions under which directed deceased donation may be ethically acceptable. We restrict our discussion to the allocation of organs to recipients already on the waiting list.

Publication Type: Article
Additional Information: © The Intensive Care Society 2024. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( Request permissions for this article.
Publisher Keywords: Organ donation, directed deceased donation, ethics, law, family
Subjects: B Philosophy. Psychology. Religion > BJ Ethics
K Law > K Law (General)
R Medicine > R Medicine (General)
Departments: School of Health & Psychological Sciences
School of Health & Psychological Sciences > Healthcare Services Research & Management
SWORD Depositor:
[thumbnail of shaw-et-al-2024-when-is-directed-deceased-donation-justified-practical-ethical-and-legal-issues.pdf]
Text - Published Version
Available under License Creative Commons Attribution Non-commercial.

Download (158kB) | Preview


Add to AnyAdd to TwitterAdd to FacebookAdd to LinkedinAdd to PinterestAdd to Email


Downloads per month over past year

View more statistics

Actions (login required)

Admin Login Admin Login