Organ Shortage, Waiting Lists, and Mortality: Inadequate or Discussed Social Education?

Felix Cantarovich
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Abstract

Amongst the significant advances in current medicine, the successful transplantation of organs is undoubtedly of particular social interest. However, the increase in patients on waiting lists, as well as the consistent and sometimes frequent mortality of those patients, hoping for an organ that, unfortunately, will not arrive, has caused a health crisis called the “organ shortage”. This severe health emergency requires a deep analysis of the potential reasons for the social ambivalence toward organ donation, particularly in the case of the death of a loved one. The possibility that misinformation and the lack of public knowledge are fundamental barriers to consent requires an analysis of the current educational programs with the aim of improving the awareness of the general population. Negative consent to donation is particularly frequent in cases of the death of a loved one. Considering the significant social importance of consent, mainly in the case of deceased donors, the review of social programs should prioritize all the potential alternatives to improve people’s acknowledgment of the organ shortage crisis. New proposals, which might create further doubt and produce complex reactions at all levels of society, should be presented correctly in transplantation program reviews. Every proposal requires a didactic discussion by experts in social sciences on people’s consent in the case of deceased organ donation.
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器官短缺、候诊名单和死亡率:社会教育不足还是讨论不足?
在当前医学的重大进步中,器官移植的成功无疑具有特殊的社会意义。然而,由于等待器官移植的病人越来越多,而且这些病人在等待器官移植的过程中不断死亡,有时甚至经常死亡,这就造成了被称为 "器官短缺 "的健康危机。这种严重的健康紧急状况要求我们深入分析社会对器官捐赠(尤其是在亲人去世的情况下)态度暧昧的潜在原因。错误信息和公众知识的缺乏可能是阻碍同意捐献的根本原因,因此需要对当前的教育计划进行分析,以提高普通民众的意识。在亲人去世的情况下,不同意捐献的情况尤其常见。考虑到同意捐献(主要是已故捐献者)的重要社会意义,对社会计划的审查应优先考虑所有可能的替代方案,以提高人们对器官短缺危机的认识。新的建议可能会在社会各个层面引起进一步的质疑和复杂的反应,因此应在移植计划审查中正确地加以介绍。每项建议都需要社会科学专家就人们对已故器官捐献的同意问题进行说教式讨论。
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