Liječnički vjesnik, Vol. 140 No. 5-6, 2018.
Review article
https://doi.org/10.26800/LV-140-5-6-22
ETHICS IN SOLID ORGAN TRANSPLANTATION
LADA ZIBAR
IVA IŽAKOVIĆ
MARIN KUHARIĆ
Abstract
Ethics in transplantation (TX) has been determined by history, philosophy, science, medicine, law, sociology and economics. Croatian national peculiarities are based on the excellent achievements in solid organ TX and outstanding legislation, which supports this success. Thus the prevalent ethical issues in TX at global level, such as organ shortage, donation, allocation and distributive justice, are simply not of major importance in Croatia. There is a model law on presumptive consent for organ donation after death in Croatia (so called “opt-out” law, while a person should declare only if willing to be “out” of the possible donors’ pool). Lack of knowledge of the opt-out law of organ
donation after brain death, which is currently established in Croatia, lack of coordination of this law with Croatian Codex of Medical Ethics and Deontology in regard to family permission for organ donation after brain death arise as our particular ethical questions along with insufficient patients’ recruitment as candidates for TX. It is expected to have TX with organs of non-human origin in the future,like the one bred in a swine, which may raise new ethical concerns.
Keywords
Organ transplantation – ethics, legislation and jurisprudence; Presumed consent – ethics; Informed consent – ethics; Tissue and organ procurement – ethics, legislation and jurisprudence; Tissue donors; Brain death; Patient selection – ethics; Directed tissue donation; Croatia
Hrčak ID:
205487
URI
Publication date:
29.6.2018.
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