医学生对器官捐献合理补偿态度的调查研究

The attitudes of medical students regarding to organ donation compensation

目的了解医学生对器官捐献合理补偿的态度。方法2013年1月到2014年1月，采用自编调查问卷的形式对两所医科大学的医学博士生、硕士生及本科生进行间卷调查。调查内容包括一般资料和对器官捐献合理补偿的态度。结果共发出问卷调查表600份，回收有效问卷592份，其中博士生150人，硕士生143人，本科生299人。69．8％的医学生认为器官捐献应该有一定的补偿，60．5％的医学生认为捐献补偿会提高器官捐献率，64．7％的医学生认为不会造成对捐献者的玷污，同时70．6％的医学生认为捐献补偿也会增加活体器官的捐献数量。在补偿方式上，80．4％0的医学生选择了享有器官移植的优先权，减免住院期间的医疗费用（50．4％）和提高医疗保险报销比例（41．8％）也是比较愿意接受的补偿方式。结论大多数医学生认为在我国应该对器官捐献者进行合理补偿；享有器官移植的优先权、减免住院期间医疗费用和提高医疗保险报销比例是比较好的激励机制。

Objective To investigate the attitudes of medical students regarding to organ donation compensation. Method A self administered questionnaire was distributed to 600 medical students selected randomly from two medical universities in China between January 2013 and January 2014. The questionnaire included demographics and core questions related to medical student＇s attitudes regarding organ donation compensation. Result A total of 600 questionnaires were distributed and 592 valid responses were received, including 150 doctoral students, 143 master students and 299 undergraduate students. In all, 69.8~ of medical students blieved that compensation for organ donor was essential. Nearly 60. 5% believed financial compensation would increase the rate of organ donation but would not tarnish the behavior of organ donors （64. 7%）. At the same time, over 70% of medical students believed that financial compensation would increase the nmnber of living organ donation. With regarding to the ways of compensation, most of the students （80. 4%） were in favor of priority on waiting list. Reducing or free of hospitalization costs （50. 4%） and increasing the reimbursement ratio of medical insurance （41.8%） were also the acceptable compensation ways to medical students. Conclusion Most of medical students believe that it is essential to give compensation to organ donors. Enjoying the priority on waiting list, reducing or free of hospitalization costs and increasing the reimbursement ratio of medical insurance are the reasonable incentive methods.