我国器官捐献信任危机现状与原因分析

Analysis on Trust Crisis of Organ Donation in China

近年来我国加大了对器官捐献工作的推动力度,由于国人身后捐献器官的意愿很低,此项工作仍举步维艰。基于多元的视角研究,发现"信任危机"现已成为当前制约我国遗体器官捐献发展的最主要因素。这种信任危机主要表现在三个方面:民众对器官捐献主导部门(中国红十字会与国家卫生和计划生育委员会)公信力的质疑,对器官捐献过程中死亡判定,器官摘取、分配公正性的质疑以及对器官捐献协调员身份认同与劝捐动机的质疑。

In recent years, the organ donation was promoted vigorously in China. However, there was only little progress was made, which mainly due to the Chinese low intention of organ donation after death. Based on the study from multiple perspectives, we found ＂trust crisis＂ was the most important factor restricting the development of organ donation. The trust crisis was mainly reflected in three aspects： the people＇s doubt on the Red Cross and the department of health and family planning commission of China, which played as the leading and instructing administrative institutions in the work of organ donation; the people＇s doubt on the determination of death, organ harvesting and distribution justice in the process of donation; the people＇s doubt on the identity and motives of organ donation coordinators.