公平的交换:为什么英格兰活着的脏捐赠者应该得到经济补偿
Daniel Rodger1,2, Bonnie Venter3
1Institute of Health and Social Care, School of Allied and Community Health, London South Bank University, London, UK. daniel.rodger@lsbu.ac.uk.
Medicine, health care, and philosophy
|August 24, 2023
概括
对脏捐献者的经济激励可以在英国每年挽救数百人的生命. 这个拟议的系统旨在增加移植,减少等待时间,并通过为活体捐赠提供补偿来改善患者的结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 移植手术 移植手术
- 卫生经济学 卫生经济学
背景情况:
- 目前英格兰的利他性脏捐赠系统不足以满足移植需求,导致每年数百名患者死亡.
- 缺少可供移植的脏导致延长等待时间和增加透析服务的负担.
研究的目的:
- 建议在英格兰进行脏移植的单子系统,并为活体捐赠者提供经济补偿.
- 探索金融激励的潜力,以提高活体脏捐赠率,并减轻相关的阻碍.
主要方法:
- 关于国家卫生服务 (NHS) 领导的收购单独市场结构的建议.
- 对活着的脏捐赠者进行选择性经济补偿的讨论,保留利他性捐赠的选择.
主要成果:
- 通过增加脏的可用性,有可能在英国每年挽救数百人的生命.
- 显著减少移植等待时间,减少对透析的依赖.
- 在医疗保健系统内节省成本的潜力,允许重新分配到预防病和减少健康差异.
结论:
- 对活着的脏捐赠者实施经济补偿,并仔细考虑诸如剥削和胁迫之类的伦理问题,可以显著改善脏移植系统.
- 建议在英国移植中心试点为活体脏捐赠者提供经济补偿模式,以评估其有效性和安全性.
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