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终结器官交易:对监管可能性的伦理评估

Ending the organ trade: an ethical assessment of regulatory possibilities.

作者信息

Albertsen Andreas

机构信息

Aarhus University, Aarhus, Denmark.

出版信息

Monash Bioeth Rev. 2025 Jun;43(1):150-165. doi: 10.1007/s40592-025-00232-7. Epub 2025 Mar 1.

DOI:10.1007/s40592-025-00232-7
PMID:40025296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12202555/
Abstract

While the trade of human organs are illegal and widely condemned, a black market flourishes. Estimates indicate that 10% of kidney transplants from living donors involve illegal payments to the kidney seller. This paper presents a typology for approaches aimed at curtailing the black market in human organs. The policies are evaluated from two perspectives: their ethical permissibility and their expected efficiency in ending and minimizing the trade in human organs. To end or minimize organ trading, we must reduce the organ shortage in order to reduce demand for organs, alleviate poverty to reduce the supply of organs, and disincentivize brokers and medical facilitators through a concerted effort to reduce the profit rate of the international organ trade.

摘要

虽然人体器官交易是非法的且广受谴责,但黑市却依然猖獗。据估计,活体捐赠者进行的肾脏移植中,有10%涉及向肾脏卖家非法付款。本文提出了一种旨在遏制人体器官黑市的方法类型学。从两个角度对这些政策进行了评估:它们在伦理上的可允许性以及在终结和减少人体器官交易方面的预期效率。为了终结或减少器官交易,我们必须减少器官短缺以降低对器官的需求,减轻贫困以减少器官供应,并通过共同努力降低国际器官交易的利润率来抑制中间商和医疗协助者。

相似文献

1
Ending the organ trade: an ethical assessment of regulatory possibilities.终结器官交易:对监管可能性的伦理评估
Monash Bioeth Rev. 2025 Jun;43(1):150-165. doi: 10.1007/s40592-025-00232-7. Epub 2025 Mar 1.
2
The direct and indirect economic costs incurred by living kidney donors-a systematic review.活体肾供者产生的直接和间接经济成本——一项系统综述
Nephrol Dial Transplant. 2006 Jul;21(7):1952-60. doi: 10.1093/ndt/gfl069. Epub 2006 Mar 22.
3
Costs related to obtaining organs for transplantation: A systematic review.器官移植相关的费用:系统评价。
Transplant Rev (Orlando). 2022 Dec;36(4):100724. doi: 10.1016/j.trre.2022.100724. Epub 2022 Aug 19.
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A systematic review of presumed consent systems for deceased organ donation.对已故器官捐赠的推定同意系统的系统评价。
Health Technol Assess. 2009 May;13(26):iii, ix-xi, 1-95. doi: 10.3310/hta13260.
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In defense of a regulated market in kidneys from living vendors.为活体供肾者的肾脏规范市场辩护。
J Med Philos. 2005 Dec;30(6):593-626. doi: 10.1080/03605310500421397.
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Unethical restriction of kidney transplantation.肾脏移植的不道德限制
Indian J Med Ethics. 2008 Jan-Mar;5(1):48-9. doi: 10.20529/IJME.2008.018.
7
[Living kidney donation].[活体肾捐赠]
Prog Urol. 2016 Nov;26(15):940-963. doi: 10.1016/j.purol.2016.09.054. Epub 2016 Oct 6.
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Organs trafficking: the real, the unreal and the uncanny.器官贩卖:真实、虚幻与离奇之事。
Ann Transplant. 2006;11(3):16-30.
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Interventions for increasing solid organ donor registration.增加实体器官捐献者登记的干预措施。
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Assessing the likely harms to kidney vendors in regulated organ markets.评估规范器官市场中肾脏卖方可能遭受的伤害。
Am J Bioeth. 2014;14(10):7-18. doi: 10.1080/15265161.2014.947041.

本文引用的文献

1
Distributive justice, best options and organ markets: a reply to Semrau.
J Med Ethics. 2025 Aug 20;51(9):647-648. doi: 10.1136/jme-2024-110561.
2
Organ Markets, Options, and an Over-Inclusiveness Objection: On Rippon's Argument.器官市场、选项与过度包容性异议:评里彭的论证
J Bioeth Inq. 2024 Aug 29. doi: 10.1007/s11673-024-10363-x.
3
Unjust organ markets and why it is irrelevant that selling a kidney is the best option.
J Med Ethics. 2025 Mar 26;51(4):263-267. doi: 10.1136/jme-2023-109593.
4
Efficiency and the futures market in organs.器官的效率与期货市场。
Monash Bioeth Rev. 2023 Dec;41(Suppl 1):66-81. doi: 10.1007/s40592-023-00180-0. Epub 2023 Sep 9.
5
Kidney donors' interests and the prohibition on sales.供体的利益与禁止买卖
Bioethics. 2023 Nov;37(9):831-837. doi: 10.1111/bioe.13218. Epub 2023 Aug 28.
6
Priority for Organ Donors in the Allocation of Organs: Priority Rules from the Perspective of Equality of Opportunity.器官捐赠者在器官分配中的优先权:机会均等视角下的优先权规则。
J Med Philos. 2023 Jun 20;48(4):359-372. doi: 10.1093/jmp/jhad023.
7
A regulated system of incentives for living kidney donation: Clearing the way for an informed assessment.规范活体肾脏捐献激励机制:为知情评估铺平道路。
Am J Transplant. 2022 Nov;22(11):2509-2514. doi: 10.1111/ajt.17129. Epub 2022 Jul 22.
8
Global Practices and Policies of Organ Transplantation and Organ Trafficking.器官移植和器官贩卖的全球实践与政策。
Exp Clin Transplant. 2022 Aug;20(8):717-731. doi: 10.6002/ect.2020.0251. Epub 2021 Feb 1.
9
If the Price is Right: The Ethics and Efficiency of Market Solutions to the Organ Shortage.如果价格合理:解决器官短缺的市场解决方案的伦理和效率。
J Bioeth Inq. 2020 Sep;17(3):357-367. doi: 10.1007/s11673-020-09981-y. Epub 2020 Jun 15.
10
A new edition of the Declaration of Istanbul: updated guidance to combat organ trafficking and transplant tourism worldwide.《伊斯坦布尔宣言》新版:打击全球器官贩运和移植旅游的最新指南。
Kidney Int. 2019 Apr;95(4):757-759. doi: 10.1016/j.kint.2019.01.006.