Through analyzing the relevant regulations of organ transplantation in China, we identified the problems in the regulations of organ transplantation in China, including more strict limitation of the living organ donors resulting in a serious shortage of organ supply, difficulties in preventing the hidden organ trading, and opaque process of organ allocation resulting in unfair distribution. We also put forward the solutions to address above problems, including the improvement of organ transplantation regulations, establishment of the reimbursement mechanism for organ donation, rational mechanism of organ allocation and the brain death criteria, so as to promote more comprehensive sources of organ donation for the patients with end-stage organ failure.
Citation：
JIANG Xianfei,ZHU Fang,LIU Qin,LIU Huan,LIAO Zhilin. The Problems and Consideration of Organ Transplantation Regulations in China. Chinese Journal of Evidence-Based Medicine, 2010, 10(11): 1353-1355. doi: 10.7507/1672-2531.20100595
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Copyright © the editorial department of Chinese Journal of Evidence-Based Medicine of West China Medical Publisher. All rights reserved
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- 1. 叶青. 中国人体器官交易黑市猖獗 供体被当牲口豢养.[EB/OL]. (2010-05-6).[2010-05-30]. http://news.xinmin.cn/rollnews/2010/05/06/4751650.html.
- 2. 师小葶. 感天动地, 罗玮为陌生人大义捐肝; 建章立制, 推动我国器官移植工作. 中国医学伦理学, 2006, 19(5): 25.
- 3. Brown RS Jr, Russo MW, Lai M, et al. A survey of liver transplantation from living adult donors in the United States. N Engl J Med, 2003, 348: 818-825.
- 4. 广州日报. 两家庭交叉捐肾广州受阻后在海南成功手术[EB/OL].(2008-01-08). [2010-05-30]. http://news.sina.com.cn/s/2008-01-08/035714689311.shtml.
- 5. 广州日报. 卫生部副部长: 两患者家庭之间交叉供肾合法[EB/OL].(2008-06-14).[2010-05-30]. http://www.chinanews.com.cn/jk/kong/news/2008/06-14/1281639.shtml.
- 6. 刘泽军. 对器官移植资源分配的伦理反思. 中国医学伦理学, 2007, 20(2): 115-117.
- 7. 姜贤飞, 邓绍林, 王莉. 医院在“知情不同意”中面临的伦理学悖论及法学思考. 医学与哲学, 2008, 29(3): 16-17.
- 8. 宋儒亮, 崔小花, 高霑, 等. 脑死亡与器官移植立法课堂调查问卷分析. 中国循证医学杂志 2009, 9(12): 1296-1301.
- 9. 卫生部. 最高人民法院 最高人民检察院 公安部 司法部 卫生部 民政部关于利用死刑罪犯尸体或尸体器官的暂行规定. 1984-10-09.
- 10. 康德, 主编. 道德形而上学原理. 苗力田, 译. 上海: 上海人民出版社, 1986: 86.
- 11. 宋儒亮, 邓绍林, 李幼平. 脑死亡和器官移植问题解决需要立法直接介入. 中国循证医学杂志, 2007, 7(11): 816-826.
- 12. World Medical Association. World Medical Association Statement on Human Organ Donation and Transplantation. WMA General Assembly, October 2006. Available from: URL: http://www.wma.net/e/policy/wma.htm.
- 13. 宋儒亮, 袁强, 李玲, 等. 中国“器官移植与脑死亡立法”的现状与挑战. 中国循证医学杂志, 2009, 9(2): 187-194.
