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[器官捐赠的推定同意?:德国重症医学与急诊医学学会成员的一项调查]

[Presumed consent for organ donation? : A survey among members of the German Society of Medical Intensive Care and Emergency Medicine].

作者信息

Janssens U, Michels G, Karagiannidis C, Riessen R, Busch H-J, Welte T, Werdan K, Buerke M, John S, Kluge S

机构信息

Klinik für Innere Medizin, St.-Antonius Hospital, Dechant-Deckers-Str. 8, 52249, Eschweiler, Deutschland.

Klinik III für Innere Medizin, Universitätsklinikum Köln, Köln, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2020 Apr;115(3):239-244. doi: 10.1007/s00063-019-0579-2. Epub 2019 Apr 10.

Abstract

BACKGROUND

Since 2010, the number of organ donations has decreased by 30% in Germany; however, stricter organizational structures in clinics and improved payment for hospital services associated with organ removal should increase the current decline in the number of organ donations in Germany. In addition, the Federal Minister of Health proposed introduction of the double presumed consent solution for organ donation. This proposal is currently being discussed very controversially. Against this background, we conducted an online survey of all members of the German Society of Medical Intensive Care and Emergency Medicine (DGIIN) in order to evaluate the attitude towards organ donation.

METHOD

The present work is an anonymous online survey among the members of DGIIN, which took place from 10-23 September 2018. In addition to a few demographic queries, the personal opinion on the regulation of organ donation was collected.

RESULTS

A total of 1019 (51.9%) of 1964 invited DGIIN members took part at the survey: 79.3% of the participants were male; average age 47.5 ± 11.2 years; 97.7% were physicians, of whom 89.2% were specialists and 62.7% had the additional degree in critical care; 20.6% voted for the current decision-making solution, 43.1% for the presumed consent, 33.1% for the double presumed consent, whereas 3.2% of the respondents were uncertain in their decision.

CONCLUSION

A clear majority of the surveyed members of DGIIN support the concept of presumed consent.

摘要

背景

自2010年以来,德国的器官捐赠数量下降了30%;然而,诊所更严格的组织结构以及与器官摘除相关的医院服务报酬的提高,应该会遏制德国目前器官捐赠数量的下降趋势。此外,联邦卫生部长提议引入器官捐赠双重推定同意方案。目前,这一提议正引发激烈争议。在此背景下,我们对德国重症医学与急诊医学学会(DGIIN)的所有成员进行了一项在线调查,以评估他们对器官捐赠的态度。

方法

本研究是对DGIIN成员进行的一项匿名在线调查,于2018年9月10日至23日开展。除了一些人口统计学问题外,还收集了关于器官捐赠规定的个人意见。

结果

在1964名受邀的DGIIN成员中,共有1019人(51.9%)参与了调查:79.3%的参与者为男性;平均年龄47.5±11.2岁;97.7%为医生,其中89.2%为专科医生,62.7%拥有重症医学附加学位;20.6%的人投票支持当前的决策方案,43.1%支持推定同意,33.1%支持双重推定同意,而3.2%的受访者在决策上不确定。

结论

DGIIN的大多数受访成员明确支持推定同意的概念。

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