open access

Vol 7, No 1 (2022)
Original article
Published online: 2022-03-31
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Current knowledge of legal determinants of postmortal organ donations among lawyers and physicians — a cross-sectional survey and narrative review regarding potential criminal liability in opt-out donation model country

Ilona Kiel-Puślecka12, Mateusz Puslecki134, Marek Dąbrowski15, Bartłomiej Janyga2, Bartłomiej Perek3, Agnieszka Zawiejska6
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Medical Research Journal 2022;7(1):54-60.
Affiliations
  1. Polish Society of Medical Simulation, Poland
  2. B. Janyga and Partners Law Office, Poznan, Poland
  3. Department of Cardiac Surgery and Transplantology, Poznan University of Medical Sciences, Poznan, Poland
  4. Polish Society of Medical Simulation, Poland
  5. Department of Medical Education, Chair of Medical Education, Poznan University of Medical Sciences, Poznan, Poland
  6. Department of Medical Simulation, Chair of Medical Education, Poznan University of Medical Sciences, Poznan, Poland

open access

Vol 7, No 1 (2022)
ORIGINAL ARTICLES
Published online: 2022-03-31

Abstract

Introduction: Knowledge of the basic legal acts and regulations concerning postmortal organ donation is a crucial issue in ensuring that the will of the potential donors is respected and that physicians are legally protected from potential consequences. This study aimed to assess the awareness and knowledge of physicians and lawyers about the basic legal determinants and criminal responsibility in an opt-out donation model country.

Material and methods: Survey-based study involved 100 participants, including physicians (group P; n = 50) and lawyers (group L; n = 50). An original questionnaire consisted of 21 questions about the knowledge of the legal regulations of organ donation in Poland. Additionally, a narrative review of Polish transplantation legal acts was performed to identify potential criminal responsibility related to postmortal transplantation.

Results: In the study group all lawyers and 50% of physicians declare that their routine work does not include donors’ death confirmation. 62% of physicians are included directly in donors’ qualification. 92% of lawyers and 90% of physicians suggest that access to knowledge in the subject is not easy. The results of substantive knowledge in the field of transplantation law did not differ statistically between the groups, the median total score in 9 questions test was 5 (3:6) in L and the same in P 5 (2:6). The authors identified four aspects of a physician’s criminal responsibility in the case of postmortal transplantation.

Conclusions: This study has revealed that knowledge of the basic legal acts and regulations of postmortal donation, considered to be of paramount importance in ensuring respect for transplant law, needed to be improved. Therefore, further education in these aspects may result in more sufficient protection of physicians from potential legal consequences.

Abstract

Introduction: Knowledge of the basic legal acts and regulations concerning postmortal organ donation is a crucial issue in ensuring that the will of the potential donors is respected and that physicians are legally protected from potential consequences. This study aimed to assess the awareness and knowledge of physicians and lawyers about the basic legal determinants and criminal responsibility in an opt-out donation model country.

Material and methods: Survey-based study involved 100 participants, including physicians (group P; n = 50) and lawyers (group L; n = 50). An original questionnaire consisted of 21 questions about the knowledge of the legal regulations of organ donation in Poland. Additionally, a narrative review of Polish transplantation legal acts was performed to identify potential criminal responsibility related to postmortal transplantation.

Results: In the study group all lawyers and 50% of physicians declare that their routine work does not include donors’ death confirmation. 62% of physicians are included directly in donors’ qualification. 92% of lawyers and 90% of physicians suggest that access to knowledge in the subject is not easy. The results of substantive knowledge in the field of transplantation law did not differ statistically between the groups, the median total score in 9 questions test was 5 (3:6) in L and the same in P 5 (2:6). The authors identified four aspects of a physician’s criminal responsibility in the case of postmortal transplantation.

Conclusions: This study has revealed that knowledge of the basic legal acts and regulations of postmortal donation, considered to be of paramount importance in ensuring respect for transplant law, needed to be improved. Therefore, further education in these aspects may result in more sufficient protection of physicians from potential legal consequences.

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Keywords

postmortal donation, legal aspects, criminal liability, organ donation, transplantation

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About this article
Title

Current knowledge of legal determinants of postmortal organ donations among lawyers and physicians — a cross-sectional survey and narrative review regarding potential criminal liability in opt-out donation model country

Journal

Medical Research Journal

Issue

Vol 7, No 1 (2022)

Article type

Original article

Pages

54-60

Published online

2022-03-31

Page views

4904

Article views/downloads

338

DOI

10.5603/MRJ.a2022.0009

Bibliographic record

Medical Research Journal 2022;7(1):54-60.

Keywords

postmortal donation
legal aspects
criminal liability
organ donation
transplantation

Authors

Ilona Kiel-Puślecka
Mateusz Puslecki
Marek Dąbrowski
Bartłomiej Janyga
Bartłomiej Perek
Agnieszka Zawiejska

References (17)
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  4. Act of 5 December 1996 on the professions of doctor and dentist, Journal of Laws of 1997. No. 28, item 152; Article 30.
  5. Convention for the Protection of Human Rights and Dignity in the Context of The Applications of Biology and Medicine of 4 April 1997, opened for signature on 4 April 1997, Poland signed the Convention on 7 May 1999, ETS No 164.
  6. Sośniak M. Śmierć (Problematyka lekarsko-prawnicza). Państwo i Prawo. 1970; 3-4: 506–517.
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  9. Downie J, Kutcher M, Rajotte C, et al. Eligibility for organ donation: a medico-legal perspective on defining and determining death. Can J Anaesth. 2009; 56(11): 851–863.
  10. Glushkov VA. The criminal law aspects of organ transplants. Sov Law Gov. 1984; 22(4): 17–26.
  11. Giezek J. Criminal Code. General part. Komentarz, vol. I. Wolters Kluwer SA, Wrocław 2000.
  12. Reference documents by region. http://www.transplant-observatory.org/by-regions/ (12.12.2021).
  13. Duda J. Civil law problems of medical transplantation. LEX Wolters Kluwer, Warsaw 2011.
  14. Kędziora R. Criminal liability of a doctor in connection with the performance of medical activities. LEX Wolters Kluwer business, Warsaw 2009.
  15. Regulation of the Minister of Health of 1 December 2006 on the manner of keeping the central register of objections and the method of determining the existence of an entry in this register. OJ 2006 No. 228, item 1671.
  16. Świderska M. Świderska M, Patient's consent to a medical procedure. TNOiK Organizer's House, Torun 2007.
  17. Jaroszek J. Transplants in the light of the law in Poland. Wydawnictwa Prawnicze, Warsaw 1988.

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