Koene R A P
Ned Tijdschr Geneeskd. 2002 Apr 6;146(14):652-4.
In 1998, the Organ Donation Act became effective in the Netherlands. From the recent evaluation of this act, it appears that one of its important goals, the increase in organ donation, has not been achieved. The number of organ donations has decreased. Only one-third of the Dutch adult population has responded to the request to register in the Central Organ Donor Registry. All people aged 18 years and older are sent a form on which they can indicate whether or not they consent to donating their organs after death. When a non-registered person dies, the relatives will refuse organ donation in at least 75% of the cases. The most important means for improving this situation are the implementation of a presumed consent law, special attention to public education on the principle of reciprocity (quid pro quo), and an improvement of the procurement programs in the donor hospitals.
1998年，《器官捐赠法》在荷兰生效。从对该法案的近期评估来看，其重要目标之一，即增加器官捐赠，并未实现。器官捐赠数量有所下降。只有三分之一的荷兰成年人口响应了在中央器官捐赠登记处登记的请求。所有18岁及以上的人都会收到一份表格，他们可以在上面表明是否同意在死后捐赠器官。当一个未登记的人去世时，在至少75%的情况下，其亲属会拒绝器官捐赠。改善这种情况的最重要手段是实施推定同意法，特别关注关于互惠原则（等价交换）的公众教育，以及改善捐赠医院的获取项目。
