The Honourable Society of Lincoln's Inn, London, UK.
Clin Med (Lond). 2013 Aug;13(4):340-3. doi: 10.7861/clinmedicine.13-4-340.
Increasing the number of organ transplants is a priority for most governments. While potential new legislation for donor registration, such as the Welsh Government white paper on establishing an opt-out system for Welsh residents, is the focus of most ethical and legal scrutiny, there are also other approaches to increase the number of patients receiving organ transplants. The then National Institute for Health and Care Excellence (NICE) published guidance on this issue in 2011, but subsequent debate in this journal has suggested that the guidance was presumptuous and might encourage unethical practice. This paper addresses these concerns and concludes that the NICE guidance provides a legal, ethical and clinically relevant way forward in a complex and developing public health issue.
增加器官移植数量是大多数政府的首要任务。虽然新的潜在供体登记立法，如威尔士政府关于建立威尔士居民选择退出系统的白皮书，是大多数伦理和法律审查的焦点，但也有其他方法可以增加接受器官移植的患者数量。当时的国家卫生与临床优化研究所（NICE）在 2011 年就此问题发布了指南，但本刊随后的辩论表明，该指南是想当然的，可能会鼓励不道德的做法。本文针对这些担忧进行了讨论，并得出结论，NICE 指南为这一复杂且不断发展的公共卫生问题提供了一种合法、合乎伦理和临床相关的前进道路。
