Nemecko: Nová úprava darcovstva orgánov | Medicínske právo
              

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Nemecko: Nová úprava darcovstva orgánov


 | 2.8.2012 | komentárov: 294

Pravidlá darcovstva orgánov v Nemecku sa budú meniť. V budúcnosti sa majú úrady pravidelne pýtať všetkých občanov starších ako 16 rokov, či sú ochotní darovať svoje orgány. Podľa teraz platného zákona si musia Nemci preukaz darcu orgánov obstarať sami z vlastnej iniciatívy.

Obrazok Každý dospelý v Nemecku bude v pravidelných intervaloch listom vyzvaný, aby sa rozhodol pre alebo proti darovaniu svojich orgánov po smrti. Táto zásadná reforma by mala rýchlo a výrazne zvýšiť počet darcov, a tým aj obrovský nedostatok orgánov. Nemá ale vytvárať nátlak na občanov, aby sa rozhodli pre darcovstvo.
 
Po viac ako pätnástich rokoch diskusie a viacerých neúspechoch, konečne dosiahli čelní predstavitelia a odborníci zo všetkých frakcií nemeckého spolkového parlamentu a spolkovej vlády konsenzus. Akonáhle toto leto nadobudne zákon účinnosť, majú sa všetky zákonné aj súkromné zdravotné poisťovne po prvýkrát opýtať svojich poistencov na ochotu darovať orgány. Budú môcť odpovedať kladne, záporne alebo dotazník jednoducho zahodiť a nevrátiť ho poisťovni. Budú môcť súhlasiť s darovaním len určitých orgánov prípadne konkrétne orgány z darcovstva výslovne vylúčiť. Vyhlásenie má byť zdokumentované, tak ako doposiaľ, na papierovom  preukaze darcu orgánov.

Ak to bude technicky možné, mohol by sa prejav vôle evidovať aj v elektronickej zdravotnej dokumentácii. Zápis do nej by mohli vykonať sami poistenci pomocou špeciálnych terminálov umiestnených pravdepodobne u poskytovateľa zdravotnej starostlivosti alebo by zápis mohli ponechať na lekárovi alebo zdravotnej poisťovni. Technické možnosti má zabezpečiť spoločnosť Gematik, ktorá zaobstaráva aj elektronickú zdravotnú dokumentáciu do roku 2013. Prvá vlna výziev pre dobrovoľné rozhodnutie sa pre alebo proti darovaniu má byť kompletne rozoslaná do polovice roka 2013. Následne budú občania opätovne vyzývaní vyjadriť sa každé dva roky. Zároveň majú byť občania  pred svojím rozhodnutím rozsiahle informovaní.

Každý darca orgánov je záchrancom života“, povedal spolkový minister zdravotníctva Daniel Bahr (FDP). Zdôrazňuje, že nebude dochádzať k nijakému nátlaku. Počet darcov sa vraj zvýši. Politici sú zaviazaní voči asi 12 000 pacientom na čakacích listinách, preto veria, že zákon naplní očakávania. „Je pre nás dôležité, aby sme touto cestou priniesli diskusiu aj do rodín“, vyjadrila sa odborníčka zo strany zelených Elisabeth Scharfenberg. „Chceme ľudí omnoho častejšie konfrontovať s témou darcovstva orgánov“, hovorí zdravotnícky expert strany CDU Jens Spahn. „Dúfame, že týmto značne zvýšime ochotu darcov“, povedala expertka zo strany SPD Carola Reimann. Jej ľavičiarska kolegyňa Martina Bunge zdôraznila: „Vždy tu bude aj možnosť dať rozhodnutie na papier.“ Strana Die Linke sa k elektronickej zdravotnej dokumentácii totiž stavia kriticky.

Súčasne so zákonom o darcovstve orgánov by mal parlamentom prejsť aj pripravovaný zákon o transplantáciách. Ním by mal byť na klinikách popohnaný odber orgánov. Kritici celej situácie v nemeckých nemocniciach považujú transplantačný zákon za ešte dôležitejší ako ten, ktorý reformuje vyhlásenie o vôli darovať orgány.
Súčasné podmienky sú také, že potenciálni darcovia musia prejaviť vôľu darovať  z vlastnej iniciatívy, a to buď preukazom darcu alebo voči príbuzným. Takmer 70% ľudí je podľa prieskumov pripravených po svojej smrti darovať orgány alebo tkanivá, avšak len menej ako 20% preto urobilo potrebné kroky.
Podľa Nemeckej nadácie pre transplantáciu orgánov bol počet darcov v roku 2010 rekordný, no v minulom roku sa znova výrazne (o 7,4%) znížil.


Preklad: Zuzana Semanová
Foto: linksambulance.co.uk
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