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    題名: 醫療工作人員對活體器官捐贈看法之影響因素探討-以倫理、法律與實務為範疇;A Study of Influential Factors of Medical Personnel toward Living Organ Donation: Based on Ethic, Law and Practical
    作者: 林孟鏗;Meng-keng Lin
    貢獻者: 醫務管理學研究所碩士班
    關鍵詞: 器官移植;活體器官捐贈;倫理;法律;Organ transplantation;living-donor organ donation;ethics;Law
    日期: 2009-07-01
    上傳時間: 2009-08-12 16:22:38 (UTC+8)
    摘要: 全世界器官移植皆面臨器官捐贈來源不足之瓶頸,本研究主要探討醫療工作人員對於活體器官捐贈倫理、法律、實務相關議題及個人器官捐贈意願之看法,並分析上述活體器官捐贈倫理、法律、實務相關議題對活體器官捐贈看法之影響因素。
    本研究以醫療工作人員為研究對象,採用研究者自行設計之自填式結構式問卷「醫療人員活體器官捐贈倫理與實務運用研究」問卷調查。收集資料,以立意取樣針對北、中、南部醫療人員發放問卷,總計收回245份有效問卷。
    研究結果發現:經統計發現醫療人員在倫理構面認為「捐贈者知情同意程序」最重要,其次為「不當傷害的避免」;在法律構面,認為「書面捐贈表意程序」最重要,其次為「倫理審議程序」。實務運用方面強調「應嚴格執行知情同意程序」。
    有168位(68.6%)受訪者表示若有機會願意捐贈自己的器官,教育程度較高,曾參與相關器官移植經驗者及填寫器官捐贈卡者有較高器官捐贈意願。結果發現影響受訪者器官捐贈意願之預測變項分別為「倫理態度愈嚴謹者」與「法律態度愈嚴格者」。
    建議政府應鼓勵民眾填寫器官捐贈卡,並建立活體器官捐贈倫理與法律議題之溝通平台;醫療院所可擴大醫療工作者參與器官移植醫療團隊,藉此提升醫療工作者之器官捐贈意願,以期間接影響民眾之捐贈意願。

    Objective: The concept of organ donation still unpopularity with most people in the world. In this study, we aim to explore influential factors of medical personnel toward living organ donation, based on ethic, law and practical. The purpose of this study is to understand the influential factors of demographic characteristics, the willingness of organ donation and transplantation, and related experiences in medical personnel to living organ donation.
    Materials and Methods: In this study, based on the purpose sampling, we had invited 245 related organ transplantation medical personnel to accept a "medical personnel vital organ donation ethics and practice survey" questionnaire.
    Results: The survey concluded that"donor prior informed consent procedure" is the most important factor at the ethic aspect, "avoid inappropriate harm" secondly; at the legal aspect, medical personnel also consider that" written donor expression procedure" is the most important factor, "ethical deliberation procedure" secondly, at the practical operation aspect which were emphasized" strengthen execute prior informed consent procedure". Out of total number of medical personnel, 168(68.6%) express their willingness of organ donation. Medical personnel with higher education background and strict attitude toward ethic and law aspects are likely have higher organ donation willingness. Study suggestions: 1.The government should encourage people to sign in organ donation card, for the purpose of raising donation rate. 2. A platform relate to living organ donation ethic and law should be constructed in the future. 3. Encourage medical personnel participate in organ transplantation team works to reinforce the positive attitude toward organ donation. Raising living-donor willingness has become an important direction of improving people health and medical development.
    顯示於類別:[醫務管理學系暨碩士班] 博碩士論文

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