Gastroenterology Heath Outcomes Policy and Economics Research Program, University of California San Francisco, San Francisco, CA 94143-0538, USA.
Clin Transplant. 2009 Nov-Dec;23(6):831-8. doi: 10.1111/j.1399-0012.2008.00949.x. Epub 2009 Jan 10.
Organ procurement in China has been criticized because of its reliance on executed prisoners as donors. We aimed to assess the influence of perceptions about organ procurement practices in China on domestic patient-care decisions.
An anonymous internet administered case-based questionnaire was used to survey a sample of healthcare professionals with affiliations to hepatology and transplantation professional societies.
Of 674 completed surveys, the vast majority (93%) of the respondents were physicians, surgeons or allied transplant professionals actively caring for liver transplant patients and 81% practiced in the US. A strong majority believed procurement practices were ethically sound in the US and Europe (87% and 73%) but fare fewer believed that procurement practices were ethically sound in China (4%, p < 0.001). In case-based questions, lack of confidence in the ethical standards of organ procurement in China predicted patient-care decisions. The majority would provide post-transplantation care for patients who underwent liver transplantation at another domestic center, in a foreign country and in China (90%, 78%, and 63%, respectively, p < 0.001) yet respondents who suspected unethical procurement practices in China were more reluctant to do so (p < 0.001).
Transplant professionals expressed concern about organ procurement practices in China which influenced their patient-care decision-making.
中国的器官获取一直饱受争议，因为其依赖于死刑犯作为供体。我们旨在评估中国器官获取实践相关认知对国内患者治疗决策的影响。
我们采用匿名网络管理的案例式问卷，对与肝脏病学和移植专业学会有关联的医疗保健专业人员进行了抽样调查。
在 674 份完成的调查中，绝大多数（93%）的应答者是积极照顾肝移植患者的内科医师、外科医师或相关移植专业人员，81%的人在美国行医。绝大多数人认为美国和欧洲的器官获取实践在伦理上是合理的（分别为 87%和 73%），但认为中国的器官获取实践在伦理上是合理的人数较少（4%，p < 0.001）。在案例问题中，对中国器官获取伦理标准缺乏信心预测了患者的治疗决策。大多数人会为在另一个国内中心、在国外和在中国进行肝移植的患者提供移植后护理（分别为 90%、78%和 63%，p < 0.001），但怀疑中国存在不道德的器官获取做法的应答者更不愿意这样做（p < 0.001）。
移植专业人员对中国的器官获取实践表示担忧，这影响了他们的患者治疗决策。
