Ethical research of incentive policies for organ donation after citizen’s death

Hu Xiaonan; Lyu Renjie; Wang Linying; Meng Yexiang; Cui Yu; Yan Juan

doi:10.3969/j.issn.1674-7445.2024012

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Hu Xiaonan, Lyu Renjie, Wang Linying, et al. Ethical research of incentive policies for organ donation after citizen’s death[J]. ORGAN TRANSPLANTATION. doi: 10.3969/j.issn.1674-7445.2024012

Citation:

Hu Xiaonan, Lyu Renjie, Wang Linying, et al. Ethical research of incentive policies for organ donation after citizen’s death[J]. ORGAN TRANSPLANTATION. doi: 10.3969/j.issn.1674-7445.2024012

Citation:

Hu Xiaonan, Lyu Renjie, Wang Linying, et al. Ethical research of incentive policies for organ donation after citizen’s death[J]. ORGAN TRANSPLANTATION. doi: 10.3969/j.issn.1674-7445.2024012

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Ethical research of incentive policies for organ donation after citizen’s death

doi: 10.3969/j.issn.1674-7445.2024012

Hu Xiaonan^1
,,
Lyu Renjie¹,
Wang Linying^{1, 2},
Meng Yexiang¹,
Cui Yu¹,
Yan Juan^{1
,
,}

1.
School of Humanities and Social Sciences, Shanxi Medical University, Taiyuan 030001, China

More Information

Corresponding author: Yan Juan, Email:yanjuan@sxmu.edu.cn
Received Date: 2023-12-21
Available Online: 2024-03-07

Abstract

Abstract

In recent years, with the rapid development of organ donation after citizen’s death and transplantation, central and local governments in China have successively released incentive policies. To protect the legitimate rights and interests of organ donors after citizen’s death and their families, current status of incentive policies for organ donation after citizen’s death was illustrated and analyzed from the perspective of ethics. Combining with the principles of justice, respect for autonomy, nonmaleficence and beneficence, the problems existing in the implementation of incentive policies for organ donation after citizen’s death were identified in China, such as lack of continuous psychological intervention in spiritual incentives, the misinterpretation of humanitarian assistance in practice and the impact of indirect economic incentives on individual donation autonomy, etc. Relevant countermeasures and suggestions were proposed at the government, society and individual levels, aiming to provide reference for improving the incentive policies for organ donation after citizen’s death and accelerate the development of organ donation in China.
- Organ donation after citizen’s death,
- Organ transplantation,
- Spiritual incentive,
- Economic incentive,
- Justice,
- Respect for autonomy,
- Nonmaleficence,
- Beneficence

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References(39)

References

[1]	黄洁夫. 中国器官移植发展报告(2020) [M]. 北京: 中国科学技术出版社, 2022.
[2]	目有繁星, 沐光而行丨第七个中国器官捐献日主题活动在沪举办[EB/OL]. [2023-07-16].https://www.cotdf.org.cn/article/1451.
[3]	郑皓月. 全国人大代表张宝艳建议建立“人体器官捐献抚恤制度” 为捐献方多提供关怀[EB/OL]. [2023-01-16]. http://news.cnr.cn/dj/20220305/t20220305_525757777.shtml.
[4]	国家卫生健康委员会. 国家卫健委关于印发人体捐献器官获取收费和财务管理办法(试行)的通知[EB/OL]. [2023-01-30].https://www.codac.org.cn/contentdon/policy/20210901/131004435.html.
[5]	国家卫生健康委员会. 关于政协第十三届全国委员会第五次会议第00820号(医疗卫生类080号)提案答复的函[EB/OL]. [2023-01-16]. http://www.nhc.gov.cn/wjw/tia/202209/896d022431f8468b905df7c653865c81.shtml.
[6]	国家卫生健康委员会. 国家卫健委关于印发中国人体器官分配与共享基本原则和核心政策的通知[EB/OL]. [2023-01-16]. http://www.nhc.gov.cn/yzygj/s3586/201808/d35d96f2db82403ebe2ba41f2c583896.shtml.
[7]	湖北省第十二届常务委员会. 湖北省人体器官捐献条例[EB/OL]. [2023-07-12].https://www.codac.org.cn/contentdon/locallaws/20141201/123002064.html.
[8]	重庆市第四届人民代表大会常务委员会. 重庆市人体和遗体器官捐献条例[EB/OL]. [2023-07-12].https://www.codac.org.cn/contentdon/locallaws/20160501/91102067.html.
[9]	云南省第十二届人民代表大会常务委员会. 云南省人体器官捐献条例[EB/OL]. [2023-07-12].https://www.codac.org.cn/contentdon/locallaws/20160301/10602066.html.
[10]	南京市第十五届人民代表大会常务委员会. 南京市遗体和器官捐献条例[EB/OL]. [2023-07-12].https://www.codac.org.cn/contentdon/locallaws/20151201/4202078.html.
[11]	于兰亦. 公民逝世后器官捐献激励: 伦理和政策研究[D]. 北京: 北京协和医学院, 2019.
[12]	翟晓梅, 邱仁宗. 生命伦理学[M]. 北京: 清华大学出版, 2020: 28.
[13]	李科政. 康德"人格中的人性"与目的自身——以科斯嘉德式的诠释为切入点的考察[J]. 湖北大学学报(哲学社会科学版), 2020, 47(1): 117-123. DOI: 10.3969/j.issn.1001-4799.2020.01.015. LI KZ. Kant's "human nature in personality" and the purpose self: an examination from the perspective of Cosgardian interpretation[J]. J Hubei Univ (Philos Soc Sci Edit), 2020, 47(1): 117-123. DOI: 10.13793/j.cnki.42-1020/c.2020.01.015. DOI: 10.3969/j.issn.1001-4799.2020.01.015.
[14]	牛彬彬. 人体组织和器官捐献补偿的哲学思考[J]. 医学与哲学, 2023, 44(10): 44-47,51. DOI: 10.12014/j.issn.1002-0772.2023.10.10. NIU BB. Philosophical reflections on compensation for human tissue and organ donation[J]. Med Philos, 2023, 44(10): 44-47,51. DOI: 10.12014/j.issn.1002-0772.2023.10.10.
[15]	燕娟, 陈好雨, 周华, 等. 小肾癌活体供肾移植的伦理思考[J]. 中华器官移植杂志, 2020, 41(12): 762-764. DOI: 10.3760/cma.j.cn421203-20200405-00108. YAN J, CHEN HY, ZHOU H, et al. Ethical considerations on live donor kidney transplantation for small renal cell carcinoma[J]. Chin J Organ Transplant, 2020, 41(12): 762-764. DOI: 10.3760/cma.j.cn421203-20200405-00108.
[16]	黄洁夫, 叶啟发. 建立中国模式的公民器官捐献体系, 为人民群众提供高质量的器官移植医疗服务[J]. 武汉大学学报(医学版), 2017, 38(6): 861-865. DOI: 10.14188/j.1671-8852.2017.06.001. HUANG JF, YE QF. Establishing the Chinese model of organ donation and transplant system to provide high level ethical transplant services for the Chinese people[J]. Med J Wuhan Univ, 2017, 38(6): 861-865. DOI: 10.14188/j.1671-8852.2017.06.001.
[17]	解雨, 雷蕾, 谢勤, 等. 器官捐献中劝捐协调过程的现状与思考[J]. 护理学报, 2021, 28(22): 40-44. DOI: 10.16460/j.issn1008-9969.2021.22.040. XIE Y, LEI L, XIE Q, et al. The current situation and reflection on the coordination process of encouraging donation in organ donation[J]. J Nurs (China), 2021, 28(22): 40-44 DOI: 10.16460/j.issn1008-9969.2021.22.040.
[18]	张晓曼, 冯雷. 运用心理危机干预缓解中国器官捐献文化敏感性[J]. 器官移植, 2019, 10(1): 84-87. DOI: 10.3969/j.issn.1674-7445.2019.01.013. ZHANG XM, FENG L. Using psychological crisis intervention to alleviate the sensitivity of Chinese organ donation culture[J]. Organ transplant, 2019, 10(1): 84-87. DOI: 10.3969/j.issn.1674-7445.2019.01.013.
[19]	杨顺良, 黄丽婷, 谭建明. 器官捐献后的心理救助[J]. 器官移植, 2016, 7(2): 89-93. DOI: 10.3969 /j.issn.1674-7445.2016.02.002. DOI: 10.3969/j.issn.1674-7445.2016.02.002. YANG SL, HUANG LT, TAN JM. Psychological assistance after organ donation[J]. Organ Transplant, 2016, 7(2): 89-93. DOI: 10.3969 /j.issn.1674-7445.2016.02.002. DOI: 10.3969/j.issn.1674-7445.2016.02.002.
[20]	谢文照, 贺海燕, 邓渲桐, 等. 器官移植捐献者家属社会支持需求研究[J]. 医学与哲学, 2021, 42(22): 23-27. DOI: 10.12014/j.issn.1002-0772.2021.22.05. XIE WZ, HE HY, DENG XT, et al. Study on the social support needs of family members of organ donors[J]. Med Philos, 2021, 42(22): 23-27. DOI: 10.12014/j.issn.1002-0772.2021.22.05.
[21]	燕娟, 江文诗, 孙永康, 等. 公民逝世后器官捐献伦理审查的思考与建议[J]. 医学与哲学, 2022, 43(2): 28-32. DOI: 10.12014/j.issn.1002-0772.2022.0206. YAN J, JIANG WS, SUN YK, et al. Reflections and suggestions on ethical review of Chinese organ donation after citizen’s death[J]. Med Philos, 2022, 43(2): 28-32. DOI: 10.12014/j.issn.1002-0772.2022.0206.
[22]	于兰亦, 邱仁宗, 翟晓梅. 公民逝世后器官捐献激励的伦理学思考[J]. 医学与哲学, 2019, 40(10): 14-18,31. DOI: 10.12014/j.issn.1002-0772.2019.10.04. YU LY, QIU RZ, ZHAI XM. Ethical considerations on incentives for organ donation after citizen’s death[J]. Med Philos, 2019, 40(10): 14-18,31. DOI: 10.12014/j.issn.1002-0772.2019.10.04.
[23]	朱乃庚, 何重香. 我国公民逝世后器官捐献工作影响因素分析[J]. 医学与哲学, 2020, 41(24): 27-30. DOI: 10.12014/j.issn.1002-0772.2020.24.07. ZHU NG, HE CX. Analysis of influential factors of organ donation after citizens death[J]. Med Philos, 2020, 41(24): 27-30. DOI: 10.12014/j.issn.1002-0772.2020.24.07.
[24]	吴冠华, 吴奇飞. 遗体器官捐献中悔捐现象分析及对策建议[J]. 医学与社会, 2020, 33(5): 129-134. DOI: 10.13723/j.yxysh.2020.05.027. WU GH, WU QF. Analysis and countermeasures of donation revocation in deceased organ donation[J]. Med Soc, 2020, 33(5): 129-134. DOI: 10.13723/j.yxysh.2020.05.027.
[25]	江文诗, 马联胜, 殳儆, 等. 多学科融合促进器官捐献学科体系建设及专业化发展[J]. 器官移植, 2022, 13(6): 711-721. DOI: 10.3969/j.issn.1674-7445.2022.06.004. JIANG WS, MA LS, SHU J, et al. Multi-disciplinary integration promotes the disciplinary system construction and professional development of organ donation[J]. Organ Transplant, 2022, 13(6): 711-721. DOI: 10.3969/j.issn.1674-7445.2022.06.004.
[26]	高汉, 王彧, 姜莉, 等. 论器官捐献中家属意愿的影响因素与对策[J]. 医学与哲学(A), 2016, 37(9): 45-48. DOI: 10.12014/j.issn.1002-0772.2016.09a.13. GAO H, WANG Y, JIANG L, et al. Influencing factors of family members' willingness for organ donation and the corresponding solutions[J]. Med Philos(A), 2016, 37(9): 45-48. DOI: 10.12014/j.issn.1002-0772.2016.09a.13.
[27]	午建全, 商曼曼, 郑桂芳, 等. 基于洋葱模型的人体器官捐献协调员岗位胜任力模型构建研究[J]. 器官移植, 2023, 14(5): 714-722. DOI: 10.3969/j.issn.1674-7445.2023100. WU JQ, SHANG MM, ZHENG GF, et al. Construction of post competency model of human organ donation coordinators based on onion model[J]. Organ Transplant, 2023, 14(5): 714-722. DOI: 10.3969/j.issn.1674-7445.2023100.
[28]	杨顺良, 黄丽婷, 谭建明. 我国人体器官捐献救助体系建立与实现途径的构想[J/CD]. 中华移植杂志(电子版), 2015, 9(4): 151-154. DOI: 10.3877/cma.j.issn.1674-3903.2015.04.001. YANG SL, HUANG LT, TAN JM. Conception on establishment and realization of organ donation assistance system in China[J/CD]. Chin J Transplant (Electr Edit), 2015, 9(4): 151-154. DOI: 10.3877/cma.j.issn.1674-3903.2015.04.001.
[29]	唐健. 中国公民死亡后器官捐献改革的伦理评析[J/CD]. 实用器官移植电子杂志, 2022, 10(1): 1-3. DOI: 10.3969/j.issn.2095-5332.2022.01.001. TANG J. Ethical analysis of organ donation reform after the death of Chinese citizens[J/CD]. Pract J Organ Transplant (Electr Vers), 2022, 10(1): 1-3. DOI: 10.3969/j.issn.2095-5332.2022.01.001.
[30]	全国人大代表常务委员会. 中华人民共和国红十字会法[EB/OL]. [2023-07-09].https://www.codac.org.cn/contentdon/regulations/20170508/3802063.html.
[31]	中国红十字会第十一次全国会员代表大会. 中国红十字会章程[EB/OL]. [2023-07-09].https://www.codac.org.cn/contentdon/regulations/20190903/3702917.html.
[32]	杨顺良. 慈善组织参与人体器官捐献者家庭困难救助的探索[J]. 器官移植, 2017, 8(1): 5-9. DOI: 10.3969/j.issn.1674-7445.2017.01.002. YANG SL. Exploration of charity organizations participating in family assistance for human organ donors in difficulties[J]. Organ Transplant, 2017, 8(1): 5-9. DOI: 10.3969/j.issn.1674-7445.2017.01.002.
[33]	孔杨, 任敬, 国航, 等. 对器官捐献不同态度居民的捐献意愿[J]. 中国心理卫生杂志, 2023, 37(11): 951-957. DOI: 10.3969/j.issn.1000-6729.2023.11.007. KONG Y, REN J, GUO H, et al. Organ donation willingness of residents with different attitudes towards organ donation[J]. Chin Ment Health J, 2023, 37(11): 951-957. DOI: 10.3969/j.issn.1000-6729.2023.11.007.
[34]	阎茹, 邱鸿钟, 黄海. 大学生器官捐献意愿的文化心理特征[J]. 中国组织工程研究, 2018, 22(4): 600-605. DOI: 10.3969/j.issn.2095-4344.0097. YAN R, QIU HZ, HUANG H. Willingness of organ donation in college students: cultural and mental characteristics[J]. Chin J Tissue Eng Res, 2018, 22(4): 600-605. DOI: 10.3969/j.issn.2095-4344.0097.
[35]	侯晓丽, 国航, 任敬, 等. 器官捐献协调员劝捐协调现状及影响因素研究[J]. 器官移植, 2023, 14(1): 120-127. DOI: 10.3969/j.issn.1674-7445.2023.01.016. HOU XL, GUO H, REN J, et al. Investigation on status quo and influencing factors for donation coordination of organ donation coordinators[J]. Organ Transplant, 2023, 14(1): 120-127. DOI: 10.3969/j.issn.1674-7445.2023.01.016.
[36]	孙胜红, 吴若林, 朱乃庚, 等. 中国传统文化价值观对公民器官捐献意愿影响的研究进展[J]. 医学与哲学, 2020, 41(24): 23-26. DOI: 10.12014/j.issn.1002-0772.2020.24.06. SUN SH, WU RL, ZHU NG, et al. Research progress concerning the influence of the Chinese traditional cultural values on the civil willingness towards organ donation[J]. Med Philos, 2020, 41(24): 23-26. DOI: 10.12014/j.issn.1002-0772.2020.24.06.
[37]	张永慧, 陈玉, 鲁静雅, 等. 器官捐献家属支持需求研究进展[J]. 医学与哲学, 2023, 44(10): 48-51. DOI: 10.12014/j.issn.1002-0772.2023.10.11. ZHANG YH, CHEN Y, LU JY, et al. Research progress of family support needs for organ donation[J]. Med Philos, 2023, 44(10): 48-51. DOI: 10.12014/j.issn.1002-0772.2023.10.11.
[38]	国航, 侯晓丽, 任敬, 等. 基于ABC态度模型的器官捐献意愿影响因素分析[J]. 器官移植, 2022, 13(3): 378-384. DOI: 10.3969/j.issn.1674-7445.2022.03.015. GUO H, HOU XL, REN J, et al. Analysis of influencing factors of organ donation willingness based on ABC attitude model[J]. Organ Transplant, 2022, 13(3): 378-384. DOI: 10.3969/j.issn.1674-7445.2022.03.015.
[39]	曹翠萍, 黄海. 构建我国人体器官捐献社会宣教体系的思考[J]. 空军军医大学学报, 2016, 7(3): 63-65,70. DOI: 10.13276/j.issn.1674-8913.2016.03.014. CAO CP, HUANG H. Thoughts about constructing a social propaganda and education system for organ donation in China[J]. J Air Force Med Univ, 2016, 7(3): 63-65,70. DOI: 10.13276/j.issn.1674-8913.2016.03.014.

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Ethical research of incentive policies for organ donation after citizen’s death

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