定性内容和话语分析,比较西班牙和英格兰目前对已故器官捐献的同意系统
Kate Rees1, Leah Mclaughlin2, David Paredes-Zapata3,4,5
1NHS England, London, United Kingdom.
概括
英格兰英格兰英格兰英格兰.
科学领域:
- 移植科学 移植科学
- 公共卫生政策 公共卫生政策
- 生物伦理学生物伦理学
背景情况:
- 英国在2020年实施了选择退出器官捐献系统,以增加器官的可用性.
- 与英格兰相比,西班牙也使用了选择退出系统,其每百万人口器官捐献率几乎是英国的两倍.
研究的目的:
- 在英格兰和西班牙之间对已故器官捐赠同意政策,文件和程序进行比较分析.
- 确定可能解释器官捐献率差异的关键差异和相似之处.
主要方法:
- 对同意政策和文件进行比较的定性内容和话语分析.
- 检查了两国已故器官捐献程序.
主要成果:
- 西班牙文档更简单,适合当地,使用支持性语言,可能缩短家庭决策时间.
- 英格兰的文件看起来很复杂,其中的补充集中在NHS的风险减轻上.
- 西班牙提供了更多的捐赠途径,并为事先的个人同意决定提供了更强大的法律保护.
结论:
- 简化和统一英国的同意政策和程序可以支持家庭和医疗保健专业人员.
- 将在器官捐献者登记册上记录的决定赋予法律权力,可能会加强英格兰的系统.
- 英国可以从西班牙的做法中吸取教训,以潜在地提高器官捐献率.
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