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乌克兰和其他国家关于解剖材料移植的规范性法律规定的具体方面。

Specific aspects of normative legal regulation of anatomical materials' transplantation in ukraine and foreign countries.

作者信息

Novytska Marina М

机构信息

Sumy State University, Sumy, Ukraine.

出版信息

Wiad Lek. 2019;72(7):1331-1336.

Abstract

OBJECTIVE

Introduction: The article is devoted to the research of normative regulation of human organs and tissue transplantation in Ukraine and some foreign countries. A considerable part of problem aspects of transplantology in Ukraine is hidden due to the normative and legal base shortcomings, therefore there is a necessity of considering and borrowing foreign experience of legal regulation of this process, a legal regulation of the bases and conditions of providing consent to the removal of organs or refusal of the potential donor and legal consequences of it. The question as for the possibility of consolidating the "consent presumption" on the removal of organs and tissues at the legislative level remains current, but many experts express the idea of inadmissibility of such legislative actions because of the military operations on the territory of Ukraine and the imperfection of state control for the activities of institutions performing transplantation. At the same time, it is obvious that now the legislative regulation of the sphere of transplantology does not meet modern requirements, and creates certain gaps in the Ukrainian legislation. The aim is to determine and concretize problematic issues of legal regulation of the transplantation sphere in Ukraine, to analyze the experience of the successful countries in this direction and to develop an integrated approach to the solution of certain problems.

PATIENTS AND METHODS

Materials and methods: During the research, international normative acts, national legislation acts and scientific works of scholars were used. The article is based on the dialectical, legal, historical, comparative, systematic methods of research.

RESULTS

Review: The analysis of the current situation of legal regulation of the sphere of transplantology in Ukraine has been carried out, the main problems and gaps, which must be eliminated as soon as possible for the real possibility of organ and tissue transplantation operations, are identified. The experience of the most progressive countries that are leaders in the number of transplantation operations is analyzed and their experience has been taken.

CONCLUSION

Conclusions: The solution of this problem is possible only after the transformation of the transplant coordination system, the introduction of the Unified State Information System for transplantation, the training of specialized personnel, the improvement of the technical equipment of medical institutions, and the creation of an effective mechanism for regulating of the human anatomical materials' transplantation.

摘要

目的

引言:本文致力于研究乌克兰及一些外国对人体器官和组织移植的规范管理。由于规范和法律基础的缺陷,乌克兰移植学中相当一部分问题被掩盖,因此有必要考虑并借鉴外国在此过程的法律监管经验,包括提供同意摘除器官或潜在捐赠者拒绝的依据和条件的法律规定及其法律后果。关于在立法层面巩固器官和组织摘除“同意推定”的可能性问题仍然存在,但许多专家认为由于乌克兰境内的军事行动以及对从事移植活动机构的国家监管不完善,此类立法行动不可行。与此同时,很明显目前移植学领域的立法监管不符合现代要求,在乌克兰立法中造成了某些漏洞。目的是确定并具体化乌克兰移植领域法律监管的问题,分析这方面成功国家的经验,并制定解决某些问题的综合方法。

患者与方法

材料与方法:研究过程中使用了国际规范性文件、国家立法文件和学者的科学著作。本文基于辩证、法律、历史、比较、系统的研究方法。

结果

综述:对乌克兰移植学领域法律监管的现状进行了分析,确定了为器官和组织移植手术的实际开展必须尽快消除的主要问题和漏洞。分析了在移植手术数量方面处于领先地位的最先进国家的经验并加以借鉴。

结论

结论:只有在转变移植协调系统、引入统一的国家移植信息系统、培训专业人员、改善医疗机构的技术设备以及建立有效的人体解剖材料移植监管机制之后,才有可能解决这个问题。

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