Shafran David, Kodish Eric, Tzakis Andreas
Department of Bioethics and the Transplant Center, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195, USA,
World J Surg. 2014 Jul;38(7):1650-7. doi: 10.1007/s00268-014-2639-3.
The success of organ transplantation as a treatment for end-stage organ disease has yielded a series of ethical quandaries originating from the issue of organ shortage. Scarcity of organs for transplantation necessitates formulation of just and fair allocation policies as well as ethically viable solutions to bridging the vast gap between organ supply and demand. The concept of "triage" provides a useful paradigm in which to contextualize the organ shortage issue. This entails subjugating the welfare of the individual patient for the benefit of the wider community as an ethically justified response to the challenge of scarcity.
器官移植作为终末期器官疾病的一种治疗方法取得成功后，引发了一系列源于器官短缺问题的伦理困境。移植器官的稀缺使得必须制定公正公平的分配政策，以及从伦理角度可行的解决方案，以弥合器官供需之间的巨大差距。“分诊”概念为将器官短缺问题置于具体情境提供了一个有用的范例。这意味着为了更广泛的社区利益而牺牲个体患者的福祉，作为对稀缺挑战的一种伦理上合理的应对措施。
