MacDonald Shavaun I, Shemie Sam D
1 Department of Adult Critical Care and Emergency Medicine, Royal Jubilee Hospital and Victoria General Hospital, Victoria, British Columbia, Canada. 2 Department of Emergency Medicine, University of British Columbia, Vancouver, British Columbia, Canada. 3 Division of Critical Care, Montreal Children's Hospital, Montreal, Quebec, Canada. 4 Department of Pediatrics, McGill University, Montreal, Quebec, Canada. 5 Canadian Blood Services, Ottawa, Ontario, Canada.
Transplantation. 2017 May;101(5S Suppl 1):S27-S40. doi: 10.1097/TP.0000000000001697.
Deceased donation medicine involves unique ethical challenges. Physicians who are focused on deceased donation medicine as part of their practice can expect to encounter these challenges. The goal of this review is to identify and describe these challenges, highlight existing guidelines and policy regarding the management of these challenges and to describe how the donation physician role might promote ethical practice in deceased donation medicine. Themes of discussion include: communication with families, interprofessional conflict, donation physician personal characteristics, donation clinical processes, health resource allocation, research and education, and remuneration. The information presented in this review can be used to inform development of recommendations and guidelines for the management of ethical challenges encountered by donation physicians.
已故者器官捐献医学面临着独特的伦理挑战。专注于已故者器官捐献医学并将其作为自身业务一部分的医生可能会遇到这些挑战。本综述的目的是识别和描述这些挑战，强调关于应对这些挑战的现有指南和政策，并描述捐献医生的角色如何促进已故者器官捐献医学中的道德实践。讨论主题包括：与家属的沟通、跨专业冲突、捐献医生的个人特质、捐献临床流程、卫生资源分配、研究与教育以及报酬。本综述中呈现的信息可用于为制定应对捐献医生所遇到的伦理挑战的建议和指南提供参考。
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