题名

從儒家的觀點省察台港兩地有關活體器官捐贈的相關規定

并列篇名

Critical Examination on the Regulations of Living Organ Donation in Taiwan and Hong Kong: A Confucian Perspective

作者

黃漢忠(Hon-Chung Wong)

关键词

人體器官移植條例 ； 活體肝臟捐贈 ； 儒家 ； Human Organ Transplant Act ； Living Liver Donation ； Confucianism

期刊名称

應用倫理評論

卷期/出版年月

68期（2020 / 04 / 01）

页次

101 - 121

内容语文

繁體中文
中文摘要

2017年香港發生一起活體器官捐贈的爭議事件，引起公眾關注。一位只差三個月便滿十八歲的少女，希望捐贈其部分肝臟給她急需換肝的母親，但由於她未達法定器官捐贈的年齡而遭到拒絕。正當香港各界爭論是否應放寬活體捐贈的年齡限制之際，一位與這對母女素未謀面而已成年的年輕女士，自願把部分肝臟捐給少女的母親，讓她可以順利換肝。然而，若此事件發生在台灣，則這位女士恐無法如願，因為根據台灣「人體器官移植條例」的規定，不但捐肝者的年齡至少必須滿十八歲，而且即使是活體器官的成年捐贈者，也只能將其器官捐贈給五親等以內的血親或配偶。本文的目的，即從儒家的觀點，以及通過與世界各國類似案例的比較，以檢視台港兩地有關活體器官捐贈規定的合理性問題。
英文摘要

In 2017, a controversial incident of living organ donation in Hong Kong attracted public concern. A girl who turned 18 years old after three months hoped to donate part of her liver to her mother who urgently needed a liver transplant, but she was refused because she was under the age of legal organ donation. As people in Hong Kong were debating whether the age limit for live donation should be relaxed, an adult young woman who had never met with that mother and daughter voluntarily donated part of her liver to the former, so that she could eventually receive a liver transplant. However, this lady would not be able to do so if this incident happened in Taiwan. According to the Human Organ Transplant Act, not only must the donor be at least 18 years old, but even adult donors (aged 20 or above) of living organs can only donate their organs to their spouse, or their blood relatives within the fifth degree. This paper aims at examining the rationality of living organ donation regulations in Taiwan and Hong Kong from the Confucian point of view and comparison with similar cases in other countries.
主题分类 人文學 > 人文學綜合
社會科學 > 社會科學綜合
社會科學 > 教育學
参考文献
  1. Aulakh, R. (2011). Too young to save his mother’s life? Hospital changes policy for teen. Retrieved Aug 10, 2019 from https://www.thestar.com/life/health_wellness/news_research/2011/07/12/too_young_to_save_his_mothers_life_hospital_changes_policy_for_teen.html
  2. Campbell, M.(2013).How young is too young to be a living donor?.American Journal of Transplantation,13(7),1643-1649.
  3. Capitaine, L.(2013).Should minors be considered as potential living liver donors?.Liver Transplantation,19,649-655.
  4. Cauffman, E.,Steinberg, L.(2000).(Im)maturity of judgment in adolescence: why adolescents may be less culpable than adults.Behavioral Sciences and the Law,18,741-760.
  5. Caulfield, T. (2006). Living Organ Donation: Consent Challenges. A paper prepared for the Canadian Council for Donation and Transplantation. Retrieved Aug 10, 2019 from https://pdfs.semanticscholar.org/b9ca/9c97068ac9ac626c16e8a0aac1a08384028b.pdf
  6. Cheyette, C.(2000).Organ harvests from the legally incompetent: an argument against compelled altruism.Boston College Law Review,41(2),465-515.
  7. Erim, Y.(2006).Quality of life and psychiatric complications after adult living donor liver transplantation.Liver Transplantation,12(12),1782-1790.
  8. Hale, S.(1990).A global developmental trend in cognitive processing speed.Child Development,61(3),653-663.
  9. Halpern-Felsher, B. L.,Cauffman, E.(2001).Costs and benefits of a decision: decision-making competence in adolescents and adults.Journal of Applied Developmental Psychology,22(3),257-273.
  10. Holm, S.(2004).The child as organ and tissue donor: discussions in the Danish Council of Ethics.Cambridge Quarterly of Healthcare Ethics,13(2),156-160.
  11. Human Tissue Authority (2017). Code of Practice F: Donation of solid organs and tissue for transplantation. Retrieved Aug 10, 2019 from https://www.hta.gov.uk/sites/default/files/files/HTA%20Code%20F_0.pdf
  12. Johnson, E. M.(1999).Long-term follow-up of living kidney donors: quality of life after donation.Transplantation,67(5),717-721.
  13. Larson, R.(1980).Mood variability and the psychosocial adjustment of adolescents.Journal of Youth and Adolescence,9(6),469-490.
  14. Legislative Council, State of Michigan (2019). Michigan Compiled Laws, § 700. 5105. Retrieved Sep 20, 2019 from http://www.legislature.mi.gov/(S(jksd4z54qmlrjcd0ish55kj2))/documents/mcl/pdf/mcl-chap700.pdf
  15. Nygren, S. L.(2006).Organ donation by incompetent patients: a hybrid approach.University of Chicago Legal Forum,2006(1),471-502.
  16. Organ Procurement and Transplantation Network (2015). Living Non-Directed Organ Donation. Retrieved Aug 10, 2019 from https://optn.transplant.hrsa.gov/resources/ethics/living-non-directed-organ-donation/
  17. Ross, L. F.(2008).Minors as solid organ donors.Pediatrics,122(2),454-461.
  18. Rudow, D. L.(2009).The living donor advocate: A team approach to educate, evaluate, and manage donors across the continuum.Progress in Transplantation,19(1),64-70.
  19. Shaw, M.(2001).Competence and consent to treatment in children and adolescents.Advances in Psychiatric Treatment,7,150-159.
  20. Steinberg, L.C.(2009).Are adolescents less mature than adults? minors' access to abortion, the juvenile death penalty, and the alleged APA "flip-flop".American Psychologist,64(7),583-594.
  21. Thys, K.(2016).Living organ donation by minors: an analysis of the regulations in European Union member states.American Journal of Transplantation,16(12),3554-3561.
  22. United Kingdom (2004). Human Tissue Act. Retrieved Aug 10, 2019 from http://www.legislation.gov.uk/ukpga/2004/30/contents
  23. United Kingdom (2006). Human Tissue (Scotland) Act. Retrieved Aug 10, 2019 from http://www.legislation.gov.uk/asp/2006/4/contents
  24. Weithorn, L. A,Campbell, S. B.(1982).The competency of children and adolescents to make informed treatment decisions.Child Development,53(6),1589-1598.
  25. 李瑞全(1999).儒家生命倫理學.臺北:鵝湖.
  26. 李瑞全(2013).儒家道德規範根源論.台北:鵝湖出版社.
  27. 明報 (2017.04.14)。【熱心女捐肝】盧寵茂：想不到社會提出未成年人捐肝予成年人，不應嘗試使年輕人變成捐贈者。取自https://news.mingpao.com/ins/港聞 /article/20170414/s00001/1492161126818/【熱心女捐肝】盧寵茂-想不到社會提出未成年人捐肝予成年人-不應嘗試使年輕人變成捐贈者
  28. 香港 01 (2017.04.13)。【求肝續命】立法會各黨派原擬合作，提修例容未成年人捐肝。取自 https://www.hk01.com/社會新聞/84325/未成年少女捐肝救母被拒-移植學會前會長稱難定酌情界線
  29. 香港 01 (2017.04.20)。【好媽媽換肝】鄧桂思需再接受第二次換肝手術。取自 https://www.hk01.com/社會新聞/85542/好媽媽換肝-鄧桂思需再接受第二次換肝手術
  30. 香港 01 (2017.04.24)。【好媽媽換肝】一生只能捐肝一次，鄭凱甄母：如將來有事再諗方法。取自 https://www.hk01.com/社會新聞/86281/好媽媽換肝-一生只能捐肝一次-鄭凱甄母-如將來有事再諗方法
  31. 香港 01 (2017.08.26)。【鄧桂思病逝】聯合醫院開漏藥致兩度換肝，今凌晨離世，終年 43 歲。取自 https://www.hk01.com/社會新聞/89847/鄧桂思病逝-聯合醫院開漏藥致兩度換肝-今凌晨離世-終年 43 歲
  32. 香港 01 (2017.04.10)。未成年少女捐肝救母被拒，移植學會前會長稱難定酌情界線。取自 https://www.hk01.com/社會新聞/83349/未成年少女捐肝救母被拒-移植學會前會長稱難定酌情界線
  33. 蔡甫昌,李銘杰(2012)。活體非親屬器官捐贈之倫理議題。台灣醫學，16，649-659。
  34. 蘋果日報 (2017.04.18)。【好媽媽換肝】盧寵茂插社會施壓，認定阿女捐肝係未審先判。取自 https://hk.news.appledaily.com/local/daily/article/20170418/19993610
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