Page 106 - 2018EthBKM-Mobile

from this book is quite unbelievable. Only 68% of family could
accurately repeat the patient’s wish, according to a systematic
review. As a urological resident, I might not need to think that
much. But as a potential person for donor procurement, I think
it is important to check patient’s wish every time we contact
with the family of potential donor.

The decision of priority for donors is also an art. Every
time we’ll have a list of patient waiting for organs. But we
discuss most on the technique of transplantation surgery or on
the postoperative care, while much less on the priority scheme
of organ allocation. Sometimes it is just much more
complicated than that could be solved by regulations. Priority
schemes no doubt makes organs allocation fairer, but does it
really increase the supply of organs? And another question is
why do we give priority to people who are willing to contribute
organs? It seems reasonable but the priority should be based on
medical condition: blood type, urgency, severity, …etc, rather
than waiting time, living region, being willing to donate organs
or not, which is a non-medical criteria. The only reason of the
priority for those who willing to donate organs is that organs
donation might increase. It seems that priority scheme could
work in Taiwan to increase organ donation. Actually, a lot of
people have never heard of the priority scheme and they might
change their mind and would like to be willing to donate
organs out of the priority scheme. Perhaps this could be a point

92 107 年度•醫學倫理•人文醫學•心得