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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
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dc.contributor.advisor | 孫家棟(Chia-Tung Shun) | |
dc.contributor.author | Li-Tian Deng | en |
dc.contributor.author | 鄧力天 | zh_TW |
dc.date.accessioned | 2021-05-20T00:54:15Z | - |
dc.date.available | 2020-08-26 | |
dc.date.available | 2021-05-20T00:54:15Z | - |
dc.date.copyright | 2020-08-26 | |
dc.date.issued | 2020 | |
dc.date.submitted | 2020-07-21 | |
dc.identifier.citation | 財團法人器官捐贈移植登錄中心。2020。檢索自:https://www.torsc.org.tw/statistics/statistics_01.jsp。 何建志。增加移植器官來源之立法政策與行政行為方案研議。月旦醫事法報告 2018:29-48。doi: 10.3966/241553062018050019003 Shafer, T., Schkade, L. L., Warner, H. E., Eakin, M., O’Connor, K., Springer, J., Keen-Denton, K. Impact of medical examiner/coroner practices on organ recovery in the United States. JAMA 1994; 272 (20): 1607-1613. doi:10.1001/jama.1994.03520200063037 Pinckard, J. K., Wetli, C. V., Graham, M. A. National Association of Medical Examiners position paper on the medical examiner release of organs and tissues for transplantation. The American Journal of Forensic Medicine and Pathology 2007; 28 (3): 202-207. doi: 10.1097/PAF.0b013e3180f616b0 Shafer, T. J., Schkade, L. L., Evans, R. W., O’Connor, K. J., Reitsma, W. Vital role of medical examiners and coroners in organ transplantation. American Journal of Transplantation 2003; 4 (2): 160-168. doi: 10.1046/j.1600-6143.2003.00327.x Pinckard, J. K., Geiselhart, R. J., Moffatt, E., Schmunk, G. A., Schultz, D. L., Utley, S. R., Wetzler, S. B. National Association of Medical Examiners position paper: Medical examiner release of organs and tissues for transplantation. Academic Forensic Pathology 2014; 4 (4): 497-504. doi: 10.23907/2014.064 Jousset, N., Gaudin, A., Mauillon, D., Penneau, M., Rougé-Maillart, C. Organ donation in France: legislation, epidemiology and ethical comments. Medicine, Science and the Law 2009; 49 (3): 191-199. doi: 10.1258/rsmmsl.49.3.191 Delannoy, Y., Jousset, N., Averland, B., Hedouin, V., Ludes, B., Gosset, D. Organ procurement in forensic deaths: French developments. Medicine, Science and the Law 2016; 56 (1): 2-6. doi: 10.1177/0025802414557881 Delannoy, Y., Averland, B., Tournel, G., Cornez, R., Pollard, J., Hedouin, V., Gosset, D. Organ procurement in forensic deaths. Annales Francaises D’anesthesie et de Reanimation 2013; 32 (1): 7–11. doi: 10.1016/j.annfar.2012.10.008 Nunnink, L., Stobbs, N., Wallace-Dixon, C., Carpenter, B. Does organ donation impact on forensic outcomes? A review of coronial outcomes and criminal trial proceedings. Journal of Forensic and Legal Medicine 2019; 68: 101860. doi: 10.1016/j.jflm.2019.101860 行政院主計總處。器官移植與捐贈概況。社會指標統計年報 2007:37-40。 衛生福利部。近8成醫護人員有器捐意願34%已簽署器捐同意書高於一般民眾。2015。檢索自:https://www.mohw.gov.tw/cp-2630-18816-1.html。 杜素珍、史麗珠、廖美南、黃慈心、陳麗娟。器官移植教育對護理人員器官捐贈觀念之影響。台灣醫學 2001:1-9。 | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/8428 | - |
dc.description.abstract | 臺大醫院於1968年完成第一例活體腎臟移植手術,1969年完成第一例屍體腎臟移植手術。器官移植發展至今,已拯救無數人的生命及家庭。儘管器官移植的知識、技術及藥物飛躍地成長,有限的器官來源仍然是不可承受之重。常見增加器官來源的方法如於民眾申請或換發證件時詢問其器官捐贈意願、採用推定同意制及增加心臟停止後死亡器官捐贈來源等。除此之外,由於潛在器官捐贈者的死亡方式多為非病死或可疑為非病死,其須經依法相驗後始能施行器官摘取手術,因此,地檢署及器官移植團隊之間的溝通及合作顯得格外重要。 本研究透過問卷探討地檢署法醫師及檢察官對器官捐贈的意願、態度及知識。地檢署法醫師樣本數為22人,服務年資平均為9.9年,標準差為7.5年;2018年度的不同意率(不同意相驗前摘取器官案件數/捐贈人體器官屍體相驗案件數×100%)為7.1%,服務至今的不同意率則為4.3%;其對器官捐贈的態度皆較正向,知識亦較正確。地檢署檢察官樣本數為25人,服務年資平均為12.2年,標準差為6.8年;其中21人 (84%) 具辦理請求於相驗前摘取器官的經驗,14人 (56%) 具不同意該請求的經驗;不同意的原因依照重要性依序為「影響證據保全、刑事鑑識或解剖鑑定」、「死者的死亡原因或死亡方式」、「醫療機構未提供足夠的相關資料或說明」及「死者的年齡或身分」。檢察機關及器官移植團隊之間應保持良好的溝通及合作,使地檢署在偵查犯罪的同時,亦能完成捐贈者及其家屬的心願,遺愛人間。 | zh_TW |
dc.description.abstract | From the first successful living renal transplantation in 1968 and cadaveric renal transplantation in 1969 performed at National Taiwan University Hospital, advance in organ transplantation has saved numerous lives and families. However, limited organ resources still pose a serious problem despite the growth of the knowledge, techniques, and medications of organ transplantation. Asking people who apply for or renew their driver license or identification card, introducing legislation to allow for presumed consent and non-heart-beating donation are common ways to increase organ resources. Moreover, since many potential organ donors fall under prosecutor jurisdiction, organ transplant teams can only proceed with the prosecutor’s approval in these cases. Therefore, communication and cooperation between the district prosecutor offices and the organ transplant teams are paramount. The questionnaire applied in this study explored the experience, willingness, attitude, and knowledge of the district forensic physicians and district prosecutors toward organ donation. There were 22 district forensic physicians and 25 district prosecutors attended in this study, with average 9.9, standard deviation 7.5, and average 12.2, standard deviation 6.8 years’ experience, respectively. In this study, the overall denial rate was approximately 4.3%, while the denial rate in 2018 was 7.1%. The main reasons of district prosecutors denied the procurement of organs for transplantation ranked by importance were compromising the preservation of evidence, crime scene investigation, or autopsy, cause and manner of death of the deceased, inadequate information provided by medical institutions, and the age or identity of the deceased, respectively. District forensic physicians not only pose a positive attitude but also have a better knowledge of organ donation. Among district prosecutors, 21 of them (84%) have had decided to remove the organs before the post-mortem examination, while 14 of them (56%) have had denied the request. Conclusively, proper communication and cooperation between the district prosecutor offices and the organ transplant teams are mandatory to fulfill both the legal mandate of the district prosecutor offices and the donors’ wishes to save lives. | en |
dc.description.provenance | Made available in DSpace on 2021-05-20T00:54:15Z (GMT). No. of bitstreams: 1 U0001-2007202012193000.pdf: 3221320 bytes, checksum: 2f4c598578c06db1ca27d7c2304cdba0 (MD5) Previous issue date: 2020 | en |
dc.description.tableofcontents | 口試委員會審定書 I 誌謝 II 中文摘要 III 英文摘要 IV 第一章 前言 1 第一節 研究動機 1 第二節 研究目的 2 第二章 文獻探討 3 第一節 美國實務及法規沿革 3 第二節 法國實務及法規沿革 6 第三節 澳洲實務及法規沿革 8 第四節 我國實務及法規沿革 9 第三章 研究材料與方法 11 第一節 研究樣本資料收集與來源 11 第二節 研究方法 12 3.2.1 基本資料 12 3.2.2 屍體器官捐贈經驗 12 3.2.3 屍體器官捐贈意願 12 3.2.4 屍體器官捐贈態度 12 3.2.5 屍體器官捐贈知識 13 第四章 結果 14 第一節 地檢署法醫師屍體器官捐贈之經驗 14 第二節 地檢署法醫師屍體器官捐贈之意願 15 第三節 地檢署法醫師屍體器官捐贈之態度 16 第四節 地檢署法醫師屍體器官捐贈之知識 17 第五節 地檢署檢察官屍體器官捐贈之經驗及態度 18 第五章 討論 19 第一節 屍體器官捐贈之經驗 19 第二節 屍體器官捐贈之意願 20 第三節 屍體器官捐贈之態度 21 第四節 屍體器官捐贈之知識 22 第五節 捐贈人體器官屍體相驗制度 23 第六章 研究限制與未來展望 24 第七章 結論 25 參考文獻 27 附錄 29 | |
dc.language.iso | zh-TW | |
dc.title | 地檢署法醫師及檢察官對屍體器官捐贈的經驗、態度及意願的探討 | zh_TW |
dc.title | The Study about Experience, Attitude and Willingness Regarding Organ Donation for District Forensic Physicians and Prosecutors | en |
dc.type | Thesis | |
dc.date.schoolyear | 108-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 許倬憲(Cho-Hsien Hsu),許敏能(Min-Neng Hsu) | |
dc.subject.keyword | 地檢署法醫師,地檢署檢察官,屍體器官捐贈,相驗前摘取器官, | zh_TW |
dc.subject.keyword | District Forensic Physicians,District Prosecutors,Cadaveric Organ Donation,Organ Procurement before Post-mortem Examination, | en |
dc.relation.page | 46 | |
dc.identifier.doi | 10.6342/NTU202001641 | |
dc.rights.note | 同意授權(全球公開) | |
dc.date.accepted | 2020-07-23 | |
dc.contributor.author-college | 醫學院 | zh_TW |
dc.contributor.author-dept | 法醫學研究所 | zh_TW |
顯示於系所單位: | 法醫學科所 |
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