Organ Donation and Medical Assistance in Dying in Canada
Notice bibliographique
Résumé
Introduction In June 2016, medical assistance in dying (MAiD) became legal in Canada. This has prompted many to ask whether organ donation following MAiD should be permitted and under what circumstances. Indeed, since the MAiD legislation came into effect, reports indicate that a few individuals have donated organs following medical assistance in dying. This study considers the legal and ethical questions that arising regarding organ donation following MAiD in Canada. Methods The authors have engaged in a review of the relevant federal and provincial laws and policies governing MAiD and organ donation. These include the law establishing the conditions under which an individual may undergo MAiD, provincial laws setting out the consent requirements for organ donation and pre-mortem interventions to determine eligibility for organ donation and conscientious objection policies for health care providers. The authors have also reviewed the relevant national and international literature on organ donation following MAiD. Results Our study indicates that there are several important legal and ethical questions that must be considered in developing a framework for organ donation following MAiD in Canada. What legal protections are necessary to ensure free and informed consent to organ donation following MAiD? Several concerns arise such as the risk that patients may feel pressured or coerced to consent to organ donation. Potential safeguards to ensure consent is voluntary include precluding physicians and organ procurement organizations from approaching patients to seek their consent for organ donation, separating the decisions concerning MAiD and organ donation, precluding directed donation and ensuring that patients are aware that they can withdraw consent to MAiD and/or organ donation at any time. Other pressing questions include the extent to which health care professionals may exercise a conscientious objection to this practice and whether the recipient of an organ should be informed that an organ was obtained from an individual who underwent MAiD. In addition to domestic legislation, the experience of countries like Belgium and the Netherlands offer important guidance in addressing some of these difficult questions. Conclusion Organ donation following MAiD has the potential to benefit patients and increase organs available for donation in Canada. This study considers the difficult legal and ethical questions that arise in this context and proposes a framework for organ donation following MAiD in Canada. Reference: 1. Criminal Code - R.S.C., 1985, c. C-46 (Section 241).
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».