澳大利亚和新西兰的遗体捐赠项目:现状与未来机遇

Body donor programs in Australia and New Zealand: Current status and future opportunities.

作者信息

Jenkin Rebekah A, Keay Kevin A

机构信息

School of Medical Sciences (Anatomy), Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.

出版信息

Anat Sci Educ. 2025 Mar;18(3):301-328. doi: 10.1002/ase.70004. Epub 2025 Feb 21.

Abstract

Body donation is critical to anatomy study in Australia and New Zealand. Annually, more than 10,000 students, anatomists, researchers, and clinicians access tissue donated by local consented donors through university-based body donation programs. However, little research has been published about their operations. This study sought to examine the characteristics of the nineteen body donation programs operating in Australia and New Zealand. Information was collected from publicly available sources, virtual interviews with 17/19 programs, and responses to a set of questions (11/19). Body donation is locally regulated in both countries. Four Australian programs operate as central mortuaries supplying users in their state, while the remainder and the New Zealand programs operate institutionally. Annually, 1000-1500 donors are received across both countries. Retention periods vary, although most donors are returned for disposition within 3 years. All facilitate the return of cremated remains to the family on donor election. Most programs (16/19) reported that they received sufficient donors, with many narrowing their acceptance area. Pre-death registration of donors is required by 12/19 programs; five Australian programs will accept next-of-kin donations post-mortem. Next-of-kin authorization is required for donation; New Zealand programs seek this at the time of donor registration. All programs recognize donors; fifteen host commemoration/thanksgiving services for donors and their families. Body donation is well supported by local communities in both countries. Opportunities for improvement include the development of regional standards, engagement with donors/the community about body donation, and recognition of the primacy of donor elections over next-of-kin wishes.

摘要

遗体捐赠对澳大利亚和新西兰的解剖学研究至关重要。每年,超过10000名学生、解剖学家、研究人员和临床医生通过大学遗体捐赠项目获取当地自愿捐赠者捐献的组织。然而,关于这些项目运作的研究发表得很少。本研究旨在考察在澳大利亚和新西兰运作的19个遗体捐赠项目的特点。信息收集自公开可用的来源、对19个项目中的17个进行的虚拟访谈以及对一组问题(19个项目中的11个)的答复。两国对遗体捐赠都有地方监管。澳大利亚的4个项目作为中央停尸房为所在州的用户提供服务,其余项目以及新西兰的项目则在机构层面运作。两国每年接收1000 - 1500名捐赠者。留存期限各不相同,不过大多数捐赠者在3年内被归还以便处置。所有项目都便于在捐赠者选择的情况下将火化后的骨灰归还给家属。大多数项目(19个中的16个)报告称他们收到了足够的捐赠者,许多项目还缩小了接受捐赠的区域范围。19个项目中的12个要求捐赠者生前登记;5个澳大利亚项目将接受亲属在死后的捐赠。捐赠需要亲属授权;新西兰的项目在捐赠者登记时寻求亲属授权。所有项目都认可捐赠者;15个项目为捐赠者及其家属举办纪念/感恩仪式。遗体捐赠在两国都得到了当地社区的有力支持。改进的机会包括制定区域标准、就遗体捐赠与捐赠者/社区进行沟通,以及认识到捐赠者的选择优先于亲属的意愿。

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