基本説明
Seeks to combine a range of perspectives to dealing with organ shortage, including bioethics, sociology, law and medicine.
Full Description
Organ shortage is an ongoing problem in many countries. The needless death and suffering which have resulted necessitate an investigation into potential solutions. This examination of contemporary ethical means, both practical and policy-oriented, of reducing the shortfall in organs draws on the experiences of a range of countries. The authors focus on the resolution and negotiation of ethical conflict, examine systems approaches such as the 'Spanish model' and the US Breakthrough Collaboratives, evaluate policy proposals relating to incentives, presumed consent, and modifications regarding end-of-life care, and evaluate the greatly increased use of (non-heart-beating) donors suffering circulatory death, as well as living donors. The proposed strategies and solutions are not only capable of resolving the UK's own organ-shortage crisis, but also of being implemented in other countries grappling with how to address the growing gap between supply and demand for organs.
Contents
Part I. Setting the Scene: 1. Organ shortage: principles, pragmatism and practice Anne-Maree Farrell, David Price and Muireann Quigley; 2. Does ethical controversy cost lives? Margaret Brazier and John Harris; Part II. Current Issues Affecting Organ Shortage: 3. Organ donation and transplantation: meeting the needs of a multi-ethnic and multi-faith UK population Gurch Randhawa; 4. Educating the public to encourage organ donation? Mairi Levitt; 5. Bereavement, decision-making and the family in organ donation Magi Sque and Tracy Long-Sutehall; Part III. Strategies for Addressing Organ Shortage: 6. Incentivising organ donation Muireann Quigley; 7. Making the margins mainstream: strategies to maximise the donor pool Antonia Cronin; 8. The allocation of organs: the need for fairness and transparency Phil Dyer and Sheelagh McGuinness; 9. Ante-mortem issues affecting deceased donation: an ethico-legal perspective John Coggon and Paul Murphy; Part IV. Comparative Perspectives: 10. Institutional organisation and transplanting the 'Spanish model' Monica Navarro-Michel; 11. Kidney donation: lessons from the Nordic countries Salla Lötjönen and Nils Persson; 12. Organ donation and transplantation: the Canadian experience Linda Wright and Diego S. Silva; 13. Systematic increases in organ donation: the United States experience Alexandra K. Glazier; Part V. Current Reform and Future Challenges: 14. Negotiating change: organ donation in the UK Bobbie Farsides; 15. Addressing organ shortage in the European Union: getting the balance right Anne-Maree Farrell; 16. Promoting organ donation: challenges for the future David Price.
