Ethical Considerations in Living Organ Donation and a New Approach

摘要: Living organ donation should be recognized as an ethical compromise to the principle of nonmaleficence (doing no harm), given risks healthy donors are allowed assume. reserved for situations in which there is acceptable alternative. Increasing availability cadaveric organs most desirable, since it would decrease (although probably not eliminate) need living transplantation and provide (ie, hearts) that could otherwise obtained. We propose development incentive-based Advance-Directive Organ Registry, all adults encouraged register their advance directive regarding donations. Those individuals agreeing permit usable taken at time death receive priority generated by program, a transplant become necessary when shortage organs. The proposed Registry firmly founded on principles autonomy, beneficence, justice. ( Arch Intern Med . 1992;152:1484-1488)