器官移植2026，Vol.17Issue(1)：16-27,12.DOI:10.12464/j.issn.1674-7445.2025244
我国器官捐献事业十五年伦理透视
An ethical perspective on China's organ donation undertaking over the past 15 years
摘要
Abstract
China's organ donation undertaking has gradually developed an organ donation and transplantation management system that aligns with international standards while also suiting China's national conditions,driven by a dual mechanism of administrative and philosophical guidance.At present,this field still faces complex ethical tensions involving individual rights,family ethics,fairness in the allocation of medical resources,and the conflict between traditional cultural values and modern concepts of life.This situation is partly due to the fact that domestic ethical research on organ donation has largely been shaped by specific policy needs and has lagged behind the rapid development of practice and institutional construction.It also reflects significant differences between Chinese and Western ethical perspectives on organ donation,particularly regarding concepts of bodily ownership,ethical subjectivity and distributive justice.To achieve mature development and gain deeper societal acceptance,China's organ donation undertaking urgently needs to fully leverage the guiding role of philosophical thinking:exploring common ground between traditional ethics and modern donation ethics;promoting the local adaptation of death-related philosophical concepts;dismantling traditional notions of bodily integrity that hinder donation;ensuring substantive autonomy for vulnerable groups;reinforcing the principles of voluntary donation,fair distribution and respect for life;building a multi-layered incentive system;and strengthening public education and value guidance.These efforts will lay a solid ethical foundation for the sustainable development of organ donation in China.关键词
器官捐献/器官移植/伦理/脑死亡/器官分配/哲学思想/利他主义/分配正义Key words
Organ donation/Organ transplantation/Ethics/Brain death/Organ allocation/Philosophical thought/Altruism/Distributive justice分类
医药卫生引用本文复制引用
杨顺良..我国器官捐献事业十五年伦理透视[J].器官移植,2026,17(1):16-27,12.基金项目
福建省临床重点专科泌尿外科建设项目(2017ZDZKMN) （2017ZDZKMN）
