Ethical challenges in organ transplantation for Syrian refugees in Türkiye.

IF 3 1区 哲学 Q1 ETHICS BMC Medical Ethics Pub Date : 2024-11-02 DOI:10.1186/s12910-024-01124-x
Deniz Birtan, Aslıhan Akpınar
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Abstract

Background: There is limited information on the ethical issues encountered in living donor organ transplants performed on refugees and asylum seekers. This study investigates the ethical challenges faced by Syrian refugees under temporary protection in Türkiye who engage in living donor organ transplants.

Methods: From April to July 2022 in Istanbul, the research employed a qualitative design involving semi-structured, in-depth interviews with 27 participants, including organ donors and recipients. The analysis utilized a thematic analytic method.

Results: The findings elucidate two principal themes related to ethical concerns: justice and autonomy. Under the justice theme, several sub-themes emerged, highlighting the multifaceted challenges Syrian refugees face in accessing healthcare services. These include migration and language barriers, significantly impeding their ability to understand medical procedures and rights. Financial difficulties and restricted movement within the country further complicate their access to necessary healthcare. Despite these hurdles, refugees benefit from free access to organ transplantation services and medications, a policy underscoring Türkiye's commitment to healthcare equity for protected populations. The autonomy theme addresses the ethical handling of donor consent and motivation. The results indicate that Syrian refugees undergo a transplantation process free from coercion, with rigorous oversight by organ transplant ethics committees ensuring the prevention of donor abuse. However, despite these protective measures, challenges persist in the informed consent process, primarily due to language barriers that hinder effective communication between healthcare providers and patients. While the efforts of healthcare professionals to assist are recognized as alleviating some difficulties, the broader issues of access to comprehensive health services remain a significant concern. These barriers suggest a need for enhanced linguistic and financial support to improve healthcare accessibility for refugees.

Conclusions: This study posits that the healthcare framework provided by Türkiye to Syrians under temporary protection can serve as a model for international human rights and social justice. However, it also emphasizes the importance of addressing the persistent obstacles that limit healthcare access for asylum seekers. Recommendations for policy enhancements focus on improving language services, increasing financial support, and expanding the accessibility of comprehensive health services to ensure equitable health outcomes for refugees.

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土耳其叙利亚难民器官移植的伦理挑战。
背景:有关难民和寻求庇护者进行活体器官移植时遇到的伦理问题的信息十分有限。本研究调查了在土耳其接受临时保护的叙利亚难民进行活体器官移植时所面临的伦理挑战:这项研究于 2022 年 4 月至 7 月在伊斯坦布尔进行,采用了定性设计,对包括器官捐献者和接受者在内的 27 名参与者进行了半结构化深入访谈。分析采用了主题分析法:研究结果阐明了与伦理问题相关的两大主题:公正和自主。在 "公正 "主题下,出现了几个次主题,突出了叙利亚难民在获得医疗服务方面面临的多方面挑战。这些挑战包括移民和语言障碍,极大地妨碍了他们理解医疗程序和权利的能力。经济困难和在国内行动受限使他们获得必要的医疗服务变得更加复杂。尽管存在这些障碍,难民仍可免费获得器官移植服务和药物,这一政策凸显了土耳其对受保护人群医疗平等的承诺。自主性主题涉及捐献者同意和动机的伦理处理。研究结果表明,叙利亚难民在移植过程中没有受到胁迫,器官移植伦理委员会的严格监督确保了防止捐赠者被滥用。然而,尽管采取了这些保护措施,知情同意过程中的挑战依然存在,主要原因是语言障碍阻碍了医护人员与患者之间的有效沟通。虽然医疗保健专业人员的协助努力被认为缓解了一些困难,但获得全面医疗服务的更广泛问题仍然是一个重大问题。这些障碍表明,有必要加强语言和财政支持,以改善难民获得医疗保健服务的机会:本研究认为,土耳其为受临时保护的叙利亚人提供的医疗保健框架可作为国际人权和社会正义的典范。然而,本研究也强调了解决长期存在的限制寻求庇护者获得医疗服务的障碍的重要性。关于加强政策的建议侧重于改善语言服务、增加财政支持和扩大综合保健服务的可及性,以确保难民获得公平的保健成果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
BMC Medical Ethics
BMC Medical Ethics MEDICAL ETHICS-
CiteScore
5.20
自引率
7.40%
发文量
108
审稿时长
>12 weeks
期刊介绍: BMC Medical Ethics is an open access journal publishing original peer-reviewed research articles in relation to the ethical aspects of biomedical research and clinical practice, including professional choices and conduct, medical technologies, healthcare systems and health policies.
期刊最新文献
Public perceptions of the Hippocratic Oath in the U.K. 2023. Ethical challenges in organ transplantation for Syrian refugees in Türkiye. What ethical conflicts do internists in Spain, México and Argentina encounter? An international cross-sectional observational study based on a self-administrated survey. Medical futility at the end of life: the first qualitative study of ethical decision-making methods among Turkish doctors. Financial conflicts of interest among authors of clinical practice guideline for headache disorders in Japan.
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