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[现阶段移植学的法律规范:乌克兰问题及外国经验]

[LEGAL REGULATION OF TRANSPLANTOLOGY AT THE PRESENT STAGE: UKRAINIAN ISSUE AND EXPERIENCE OF FOREIGN STATES].

作者信息

Sovgyria O

机构信息

Taras Shevchenko National University of Kyiv, Ukraine.

出版信息

Georgian Med News. 2018 Mar(276):153-160.

Abstract

The objective of the research is to analyze the legal regulation in the transplantology field at the present stage in Ukraine. To address identified challenges, the author investigates the foreign countries experience and suggests ways of improving certain mechanism for legal regulation in the field of organ transplantation and anatomical materials. The empiric material of the study included a wide range of legal instruments regulating this sphere of legal relationships, information regarding the problems of their application, statistics, expert analysis of Ukrainian and foreign researchers. Methodological mechanism of current research includes such methods: systematic, logical and formal, structural-functional, comparative. The research found that the most world's successful model for the organization of transplantation is in Spain. Additionally, the criteria for the reception of such a model are singled out as well as certain aspects of their application in Ukraine are analyzed. Particularly, the most important criteria are: universal and general territorial proliferation of national health systems; relevant economic resources (special attention is paid to the fact that transplantation is not a medicine of luxury, and an adequate compensation to hospitals for transplantation operations should serve as a main economic aspect); an adequate and necessary number of doctors and nurses; the availability of advanced technical options for medical mechanical ventilation (air conditioning of dead bodies). The research led to the following overall findings. Due to the rapid development of medical and biological sciences, there is an urgent need on further investigation of legal, moral and ethical, general medical aspects of transplantation with subsequent proposals for improving legislation in the field of human organs transplantation and other anatomical materials. At the same time, development of appropriate legislation by complex groups of cross-disciplinary specialists and experts (in medicine, biology, law and bioethics) is the key to legal regulation effectiveness.

摘要

该研究的目的是分析乌克兰现阶段移植学领域的法律规范。为应对已识别的挑战,作者研究了国外经验,并提出改进器官移植和解剖材料领域法律规范某些机制的方法。该研究的实证材料包括广泛的调整这一法律关系领域的法律文书、关于其适用问题的信息、统计数据、乌克兰和外国研究人员的专家分析。当前研究的方法论机制包括以下方法:系统的、逻辑和形式的、结构功能的、比较的。研究发现,世界上最成功的移植组织模式在西班牙。此外,还指出了采用这种模式的标准,并分析了其在乌克兰应用的某些方面。特别是,最重要的标准是:国家卫生系统的普遍和全面地域覆盖;相关经济资源(特别关注移植不是奢侈品这一事实,对医院移植手术的适当补偿应作为主要经济方面);足够且必要数量的医生和护士;具备先进的医疗机械通气技术选项(尸体空调)。该研究得出了以下总体结论。由于医学和生物科学的快速发展,迫切需要进一步研究移植的法律、道德和伦理、一般医学方面,并随后提出改进人体器官移植和其他解剖材料领域立法的建议。同时,由跨学科专家群体(医学、生物学、法律和生物伦理学方面的专家)制定适当的立法是法律规范有效性的关键。

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