Department of Internal Medicine, Section Nephrology and Transplantation, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Department of Public Health, Radboud University Nijmegen, Rotterdam, The Netherlands.
Am J Transplant. 2015 Jul;15(7):1759-67. doi: 10.1111/ajt.13245. Epub 2015 Apr 14.
Patients travel worldwide to purchase kidneys. Transplant professionals can play a role in identifying kidney purchase. However, due to the tension between their rights and obligations, a lack of understanding and knowledge exists on how to prevent and report purchase. We present the results of a national survey that describes transplant professionals' experiences, attitudes, behaviors, conflicts of duties, legal knowledge and needs for guidelines toward patients who purchase kidneys abroad. Second, we clarify professionals' rights and obligations regarding organ purchase and propose actions that they can take to report purchase. Of the 100/241 (42%) professionals who treated patients who traveled to a country outside the European Union for a kidney transplant, 31 (31%) were certain that patients purchased kidneys. Sixty-five (65%) had suspicions that patients had bought kidneys. The majority reported a conflict of duties. Eighty percent reported a need for guidelines. Professionals can help prevent organ purchase by disclosing information about organ trafficking networks to law enforcement. Such disclosure can support the investigation and prosecution of networks. We offer key components for guidelines on disclosure of these networks.
患者跨境购买肾脏。移植专业人员可以在识别肾脏购买行为方面发挥作用。但是，由于他们的权利和义务之间存在紧张关系，对于如何预防和报告购买行为，他们缺乏理解和认识。我们呈现了一项全国性调查的结果，该调查描述了移植专业人员在处理跨境购肾患者方面的经验、态度、行为、职责冲突、法律知识和对制定指导方针的需求。其次，我们明确了专业人员在器官购买方面的权利和义务，并提出了他们可以采取的报告购买行为的措施。在 100/241（42%）名治疗过前往欧盟以外国家进行肾脏移植的患者的专业人员中，有 31 名（31%）确信患者购买了肾脏。65%（65%）人怀疑患者购买了肾脏。大多数人报告存在职责冲突。80%（80%）人报告需要指导方针。专业人员可以通过向执法部门披露有关器官贩运网络的信息来帮助预防器官购买。这种披露可以支持对网络的调查和起诉。我们提供了有关披露这些网络的指导方针的关键组成部分。
