Shaw David, Gardiner Dale, Ploeg Rutger, Floden Anne, Cooper Jessie, Pérez-Blanco Alicia, Wind Tineke, Dijkhuizen Lydia, Jansen Nichon, Haase-Kromwijk Bernadette
Institute for Biomedical Ethics, University of Basel, Basel, Switzerland.
Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.
J Intensive Care Soc. 2024 Feb 13;25(3):333-338. doi: 10.1177/17511437241231705. eCollection 2024 Aug.
This paper explores whether directed deceased organ donation should be permitted, and if so under which conditions. While organ donation and allocation systems must be fair and transparent, might it be "one thought too many" to prevent directed donation within families? We proceed by providing a description of the medical and legal context, followed by identification of the main ethical issues involved in directed donation, and then explore these through a series of hypothetical cases similar to those encountered in practice. Ultimately, we set certain conditions under which directed deceased donation may be ethically acceptable. We restrict our discussion to the allocation of organs to recipients already on the waiting list.
本文探讨是否应允许定向的已故者器官捐赠，若允许，应在何种条件下进行。虽然器官捐赠和分配系统必须公平且透明，但禁止家庭内部的定向捐赠是否“想得太多”？我们首先描述医学和法律背景，接着识别定向捐赠中涉及的主要伦理问题，然后通过一系列类似于实际中遇到的假设案例来探讨这些问题。最终，我们设定了在伦理上定向已故者捐赠可能可接受的某些条件。我们将讨论限制在向已在等候名单上的受赠者分配器官的范围内。
