Parsons Jordan A
Bristol Medical School, University of Bristol, UK.
J Law Biosci. 2021 Mar 4;8(1):lsab003. doi: 10.1093/jlb/lsab003. eCollection 2021 Jan-Jun.
Deemed consent for organ donation has long been discussed as a potential solution to the shortage of organs for transplantation, with several countries having implemented it. In Great Britain, Wales was the first nation to introduce such a system, having done so in 2015. Now, the other two nations are following suit. In this paper, I compare the approaches of England and Scotland in moving to systems of deemed consent for organ donation. After outlining both sets of legislation, I focus on three points on which the two nations differ. First, the role of those close to the deceased in the consent process and the extent to which clinicians are required to consult them ahead of consent being deemed. Second, the role of government ministers in ensuring widespread public awareness. Third, the ways in which the two nations responded to the challenge of the COVID-19 pandemic in relation to the implementation of deemed consent. I conclude that on all three points, the Scottish approach is preferable.
长期以来，器官捐赠的推定同意一直被视为解决移植器官短缺问题的一种潜在方案，已有多个国家实施了这一方案。在英国，威尔士是第一个引入此类系统的国家，于2015年实施。现在，其他两个国家也在效仿。在本文中，我比较了英格兰和苏格兰转向器官捐赠推定同意系统的方法。在概述了这两套立法之后，我重点关注两国存在差异的三个方面。第一，死者近亲在同意过程中的作用，以及在推定同意之前临床医生需要与他们协商的程度。第二，政府部长在确保公众广泛知晓方面的作用。第三，两国在实施推定同意方面应对新冠疫情挑战的方式。我得出的结论是，在这三个方面，苏格兰的做法更可取。
