Chow Kai Ming, Ahn Curie, Dittmer Ian, Au Derrick Kit-Sing, Cheung Ian, Cheng Yuk Lun, Lau Chak Sing, Yeung Deacons Tai-Kong, Li Philip Kam-Tao
Department of Medicine and Therapeutics, Carol and Richard Yu PD Research Centre, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong.
Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.
Semin Nephrol. 2022 Jul;42(4):151268. doi: 10.1016/j.semnephrol.2022.07.002. Epub 2022 Dec 27.
Despite the effectiveness of solid organ transplantation, progress to close the gap between donor organs and demand remains slow. An organ shortage increases the waiting time for transplant and involves significant costs including patient morbidity and mortality. Against the background of a low deceased organ donation rate, this article discusses the option of introducing incentives and removing disincentives to deceased organ donation. Perspectives from ethics, general public opinion, and the health care profession are examined to ensure a comprehensive appraisal and illustrate different facets of opinion on this complex area. Special cultural and psychosocial considerations in Asia, including the family based consent model, are discussed.
尽管实体器官移植具有有效性，但缩小供体器官与需求之间差距的进展仍然缓慢。器官短缺会增加移植等待时间，并带来包括患者发病和死亡在内的巨大成本。在已故器官捐赠率较低的背景下，本文讨论了引入激励措施和消除对已故器官捐赠的抑制因素的选择。研究了伦理、公众舆论和医疗行业的观点，以确保进行全面评估，并阐明在这个复杂领域的不同观点层面。还讨论了亚洲特殊的文化和社会心理因素，包括基于家庭的同意模式。
