Two thirds of organs donated in China are controlled by the Red Cross Society, and donations are needed first

2013-07-08 source: two thirds of organs have not been distributed in the system of the Ministry of health due to "human intervention" in organ distribution of the Beijing News Local Red Cross Societies occupy organ donation resources, which are pledged to transplant hospitals As a scarce resource in China, undisclosed fund organ resources have become the object of competition among all parties The local Red Cross Society, as the third-party organ donation organization, grasps the donor resources The transplant hospital hopes to obtain this resource from the Red Cross Society The Red Cross society demands the hospital to donate money to help the donors The hospital thinks that the local Red Cross Society has not made the donation account public, and it is suspected that it will make profits for itself The emergence of this situation is largely related to China's organ distribution and sharing system, which is not forced to use, making organ resources flow outside the system In May of this year, Yao Lin decided to put the dispute with the Shenzhen Red Cross on the table Yao Lin is a staff member of organ acquisition Organization (OPO) in Guangzhou General Hospital of Guangzhou Military Region When he made up his mind to say this, the cooperation between the hospital and the Shenzhen Red Cross in organ donation has entered the "frost period" For several months, Yao Lin did not get information about potential organ donors from the Shenzhen Red Cross According to the agreement between the two sides, in the past, the organ donation coordinator of Shenzhen Red Cross Society found that the organ donor was on the verge of brain death, so he would immediately notify Yao Lin "No more information It may be related to our hospital's non donation." Yao Lin said the Shenzhen Red Cross Society asked hospitals to donate money based on its information about potential donors But to Yaolin's dissatisfaction, "the details of the purpose of this donation have never been disclosed by the Shenzhen Red Cross Society." It has been more than three years since China's pilot donation of human organs Today, the donation rate is less than one in a million Organ donation is a scarce resource Wang Haibo, research director, Li Ka Shing School of medicine, Hong Kong University, and chief designer of organ distribution and sharing system in China He is concerned about the competition of various social forces for organ resources On May 11, at the first China human organ acquisition organization training conference held in Shenzhen, he said that once there is a dispute among potential donors, organs, a rare resource to save lives, will be put on the market Some experts believe that once we have the power to control resources, there will be a "black hole" of power rent-seeking One third of the patients whose organs are expensive due to lack of organs can obtain organs to complete transplantation every year; for example, the cost of liver transplantation is about RMB 4.5 million in some places, which was the first organ donation pilot in Shenzhen Gao Min's current work is related to organ donation She is an organ coordinator hired by the Shenzhen Red Cross Society She usually goes to the hospital to promote organ donation and talks with the families of potential donors about donation matters, including economic assistance High sensitivity of activity ability is very strong In her notebook, there are phone calls from hospitals all over the world In Shenzhen, or other places in Guangdong, doctors in many hospitals will inform Gao Min at the first time if the critically ill patients are willing to donate their organs due to brain trauma or cerebral hemorrhage She then informed the OPOs of other hospitals to come to assess the patient's death and obtain the organs Today, there are three organ coordinators in Shenzhen Red Cross Society, who hold a large number of potential donor information in Guangdong This information has become an extremely scarce resource in China At present, about 300000 people are waiting for organ transplantation every year to save lives, but only about 10000 people can get organs and receive transplantation every year The hospital will charge a high fee for a transplant Last year, a patient who had just completed a transplant operation in Zhongshan first hospital in Guangzhou told reporters that his entire medical cost was more than 1 million yuan The cost of transplantation varies from place to place In Nanjing, the cost of each liver transplantation is more than 100000 yuan, but in some places it may be 450000 yuan OPOs of many hospitals are eager to get potential donor information from Shenzhen Red Cross These hospitals are all qualified for organ transplantation, and there are many patients to do organ transplantation After they took the lead in acquiring organs, they had the opportunity to use them in our hospital In the case of kidney transplantation, for example, there are hundreds of people waiting for each kidney source, said an expert who asked not to be named The OPO of which hospital can get donation information can be digested in the waiting patients of this hospital After obtaining donation information, Gao Min will generally notify OPO of Guangzhou Zhongshan first hospital at the first time However, Gao Min admits that there is a problem of cooperation habit in choosing which OPO to donate information to, but it mainly depends on "decision of Shenzhen Red Cross Society and Guangdong Red Cross Society" Another organ donation coordinator of the Shenzhen Red Cross Society, Zhi Ruineng, also said that in Bao'an District and Guangming city where he works, if potential donation cases are found, OPO of Guangzhou General Hospital of Guangzhou Military Region will be informed, "this is the order of the leader of the Red Cross Society" An organ donation of 100000 yuan? A staff member of a hospital in Guangzhou said that the Shenzhen Red Cross Society has a price standard for providing donor information, and its use is not public The Shenzhen Red Cross Society denied that as early as 2009, the Shenzhen Red Cross Society, which was exploring organ donation alone, began to cooperate with Guangzhou General Hospital of Guangzhou Military Region Yao Lin recalled that at that time, few hospitals were willing to use organs donated by people after death, because they were worried about "poor quality", and their own hospital, with the "try it" mentality, began to cooperate with the Shenzhen Red Cross Society However, by late May this year, the cooperation between OPO of Guangzhou General Hospital of Guangzhou Military Region and Shenzhen Red Cross Society may be interrupted A person from the hospital said that the organ coordinator, who works with their hospital, told the Shenzhen Red Cross that he might not provide donor information in the future On May 11, Professor Huo Feng, director of OPO, said in public that they planned to donate money to the Shenzhen Red Cross every six months or a year to help poor families behind organ donors Insiders of the hospital told reporters that the reason why Shenzhen Red Cross asked the hospital to donate money was to establish a human organ donation humanitarian assistance fund In the experimental area of human organ donation, 90% of the donor's families are faced with life difficulties In the process of treatment, donors usually incur a large amount of medical expenses For many families, it is difficult to bear them, or even cause poverty due to illness Zhao Lizhen, vice president of the Shenzhen Red Cross Society, once told reporters that they set up a special medical assistance fund for the poor in hospital in 2004 At present, they mainly take part of this fund for the medical assistance of organ donation According to OPO staff of a transplant hospital in Guangzhou, the Shenzhen Red Cross Society has specific price standards for the donation case information provided, with an average donation of 100000 yuan for each completed organ acquisition "But the society doesn't know how to use the money." Two organ coordinators of the Shenzhen Red Cross Society told reporters that they would explain to their families that no more than 20000 yuan would be spent for humanitarian assistance such as funeral expenses after the donor's death Many donors owe their medical expenses before they die There is no special rescue fund for the Red Cross Society, so they can only appeal for donations from good Samaritans through the media Due to the non transparent use of rescue funds, some people in the medical community believe that the Red Cross Society holds the resources of potential donors (donors), interferes with the flow of donated organs artificially, and has the suspicion of making profits for itself Yao Lin said he did not know whether the Shenzhen Red Cross would make profits, but it should publish the details of the purpose of the money Yesterday afternoon, Zhao Lizhen, vice president of the Shenzhen Red Cross Society, told the Beijing news that the amount of donations required from the hospital was different in every case, and there was no saying that the average donation was 100000 yuan She did not disclose to reporters the exact number of donations requested However, she said that the medical (arrears) assistance for donors mainly depends on donations from transplant hospitals She said that the biggest benefit is the transplant hospital The hospital should take part of the profits from the patients' operating expenses and other expenses to pay for the medical arrears of the donors She said that the donation of the cooperative hospital was not timely, "we have to misappropriate other public funds for temporary filling" Zhao Lizhen said that the Red Cross Society regularly lists a table for donation hospitals, including how many cases have been donated, how much relief money has been spent for each case, and the work funds of organ donation coordinator, etc However, according to Zhao Lizhen, it is not necessary to disclose the specific income and expenditure of the above donation, including the working funds, to the public Regarding Zhao Lizhen's statement, Yao Lin of Guangzhou General Hospital of Guangzhou Military Region said that the hospital has not yet seen the report of Shenzhen Red Cross Society on the specific use of donations He believes that if the donation is used for organ donor assistance, the details of the use should be open and searchable "No one does anything after receiving donations" Nanjing Red Cross Society was accused of collecting donations but not actively promoting organ donation; Nanjing Red Cross Society said that donors are less determined by social environment, and there are also local Red Cross Societies in Jiangsu that let hospitals pledge A doctor in the industry said that an organ donation was successful, and the hospital receiving organ transplantation would donate about 50000 yuan to the local Red Cross Society as the humanitarian aid fund behind the donor But some doctors said that the situation in Jiangsu is different from that in Shenzhen First, the hospital finds potential donors by itself After the family members make clear that they want to donate, they inform the Red Cross Society to sign the informed consent "Hospitals can't make donations by themselves They must have a red cross society as a third party to witness and supervise." Shao Wenyu, a liver transplant doctor at the organ transplant center of Jiangsu Provincial People's Hospital, said it was stipulated by the state Shao Wenyu said that when China established the organ donation system, the Red Cross Society was introduced as a third-party organization to prevent organ donation from becoming a transaction, so the Red Cross Society was allowed to undertake organ donation registration and witness functions Shao Wenyu recognized that the Red Cross Society received donations, but what he didn't recognize was that the Red Cross Society took donations, but almost did nothing "I have never seen the staff of Jiangsu red cross promote organ donation in residential areas or downtown areas." Lu Lei, a liver transplant doctor at the liver disease center of Bayi hospital, felt the same But he also said it had something to do with the mechanism According to him, in the three and a half years of the pilot project, there is only one person in the human organ donation management office of Nanjing Red Cross Society, who is not full-time; a college student once came because it is impossible to have a staff, and has left In order to avoid obtaining organs with power and money, the Ministry of Health commissioned researchers to design a computer automatic organ distribution system It is understood that so far this year, only two cases of organ donation have been completed in Jiangsu Province, and only 33 in three years Shao Wenyu said that many grassroots hospitals in Jiangsu do not know organ donation, when and how to donate, let alone ordinary people Shao believes that if organ donation is not done as soon as possible, transplant centers in Jiangsu Province will eventually shrink "Because there are so many people waiting." Liu Wenhua, director of the human organ donation management office of the Nanjing Red Cross Society, disagreed with the doctors "Organ donation is just in its infancy There is no financial investment and the Red Cross Society can't get the money Only after consulting with the transplant hospital, they can make money in organ transplant operations," Liu stressed Without an average donation of 50000 yuan per case, the amount of aid provided by each donor is very different Liu Wenhua introduced that every donation to the hospital has a formal invoice As for the amount of assistance received by family members and hospital donations, can they correspond one by one