Centre for Medical Science and Technology Studies, University of Copenhagen, Denmark.
Scand J Public Health. 2020 Jul;48(5):480-485. doi: 10.1177/1403494819833797. Epub 2019 Apr 11.
The legal framework for organ donation in Denmark is informed consent. But due to the unsatisfactory number of organ donors, Denmark is considering changing legislation to presumed consent. This article discusses the public debate on organ donation and presumed consent in Denmark, and asks whether the right issues are being addressed in the quest towards more available organs and better donor rates? Basing our considerations on the various arguments in the debate and on scientific findings, we question the potential benefits of presumed consent and challenge some of the assumptions and rationalizations that characterize the discussions in Denmark regarding public support, public trust and the role of the family in donation decisions.
丹麦的器官捐赠法律框架是基于知情同意。但由于器官捐赠者数量不足，丹麦正在考虑修改立法，实行推定同意。本文讨论了丹麦在器官捐赠和推定同意方面的公众辩论，并探讨了在寻求更多可用器官和提高捐赠率的过程中，是否正确处理了权利问题。我们根据辩论中的各种观点和科学发现，对推定同意的潜在好处提出质疑，并对丹麦在公众支持、公众信任以及家庭在捐赠决策中的作用方面的讨论中的一些假设和合理化提出挑战。
