de Roode R P
Koninklijke Nederlandsche Maatschappij tot bevordering der Geneeskunst, afd. Gezondheidsrecht, Postbus 20.051, 3502 LB Utrecht.
Ned Tijdschr Geneeskd. 2001 Apr 7;145(14):681-4.
According to the Dutch Organ Donation Act, the explicit consent of either the donor or the relatives of the deceased is required for organ retrieval to be legitimate. Every Dutch citizen aged 12 years or over can record, in the national donor register, their consent to donation, their objection to donation or their wish to leave the decision to their relatives. The doctor, who establishes the death of a possible donor, is obliged to consult the national donor register. If doctors do not consult the register because the relatives object to donation, then they have failed to meet their obligations under the Organ Donation Act. Such an action disregards the donor's right to self-determination and the legitimate interests of those waiting for a suitable donor organ. It is acknowledged that some aspects of the Act are unclear, which may in part explain the reluctant attitude of doctors towards donation. These aspects include the procedures for donation by incompetent patients, the question as to when measures required to preserve organ function can be started, and the physician's duty of confidentiality.
根据荷兰器官捐赠法，器官获取要合法，需要捐赠者或死者亲属的明确同意。每位12岁及以上的荷兰公民都可以在国家捐赠登记册中记录其对捐赠的同意、对捐赠的反对意见或希望将决定权留给其亲属。确定可能的捐赠者死亡的医生有义务查阅国家捐赠登记册。如果医生因为亲属反对捐赠而不查阅登记册，那么他们就没有履行器官捐赠法规定的义务。这种行为无视了捐赠者的自决权以及等待合适捐赠器官者的合法利益。人们承认该法律的某些方面不明确，这可能部分解释了医生对捐赠的不情愿态度。这些方面包括无行为能力患者的捐赠程序、何时可以开始采取保存器官功能所需措施的问题以及医生的保密义务。
