在国家卫生健康委、中国红十字会的指导支持下,由中国器官移植发展基金会组织编写的《中国器官捐献和移植发展报告(2023)》付梓。
自2018年3月第一部《中国器官移植发展报告》启动编写以来,时至今日已连续出版五部,成为中国器官捐献和移植官方权威数据来源。
中国政府高度重视发展人体器官捐献与移植事业,过去十多年,随着临床医学的进步及相关法规制度的完善,尤其是2007年5月起《人体器官移植条例》的施行,我国人体器官捐献和移植事业取得了长足进步。例如,2016年,国家交通、航空、铁路等六部门联合建立了器官转运绿色通道,为拯救生命赢得了宝贵时间;2017年5月,《中华人民共和国红十字会法》修订,明确要推动器官捐献工作,探索了慈善机构等开展人道主义救助机制;2021年正式实施的《中华人民共和国民法典》中也明确了器官捐献的基本规则;2021年7月由国家卫生健康委、国家发展改革委、财政部等七部委联合出台的《人体捐献器官获取收费和财务管理办法(试行)》明确人体器官获取使用成本,着力建立完善人体器官获取收费管理机制,有力推进器官移植法制化进程,是中国器官捐献移植改革的历史性进步。
2023年12月《人体器官捐献和移植条例》的正式颁布标志着我国器官捐献和移植事业迈上了新台阶,进入了新的发展阶段。此次条例的修订,在名称中新增了捐献二字,这一变化凸显了器官捐献的重要性,也彰显了党和国家对于器官捐献移植事业的高度认可和推动这项大爱事业高质量发展的信心和决心。《中国器官移植发展报告》也从今年起正式更名为《中国器官捐献和移植发展报告》。至此,以捐献为前提的中国器官移植事业将在阳光下继往开来,砥砺前行。
习近平总书记在党的二十大报告中提出,推进健康中国建设,把保障人民健康放在优先发展的战略位置,完善人民健康促进政策。在世界卫生与健康领域,中国持续发挥着重要作用。同时,中国的卫生与健康事业也受益于国际间的相互支持。近年来,我国主动加强与各国的交流合作,全面展现了器官移植的顶层规划、制度构建、法律法规以及工作体系。通过世界卫生组织全球器官移植监测网,向国际社会公开提供相关数据及分析成果,以透明之态呈现我国人体器官捐献与移植工作的显著成效。
党的二十大强调增进民生福祉,提高人民生活品质。在新的时代背景下,新的时代赋予器官移植更高使命。我们将锲而不舍地奋进,构建一个完备且契合伦理规范、符合世界卫生组织准则的器官捐献与移植体系,全力攀登器官移植科学技术的新高峰。
本报告是中国器官移植发展基金会组织编写并连续出版的第五部报告,是中国器官移植发展改革成果的忠实记录。本次报告的出版,不仅是对过往工作的深度总结和提炼,更是对未来发展方向的清晰洞察和精准把握。在连续出版的历程中,我们不断积累经验、完善内容,而本次出版更是在前几部的基础上,融入了最新的研究成果、实践经验和国际前沿理念,为推动中国器官捐献和移植事业的发展提供了更具前瞻性和指导性的参考,也为全球器官移植领域贡献了独特的中国智慧和中国方案。中国器官移植发展基金会将继续秉承使命,以本报告为基石,为推动我国器官移植事业的蓬勃发展不懈努力。
《中国器官捐献和移植发展报告(2023)》编委会
2024年10月
注:《中国器官捐献和移植发展报告(2023)》数据统计时间:2023年1月1日2023年12月31日;数据统计范围为31个省(自治区、直辖市)及新疆生产建设兵团(不含中国香港特别行政区、澳门特别行政区和台湾省)。
Preface
Under the guidance and support of the National Health Commission and the Red Cross Society of China, the Report on Organ Donation and Transplantation in China (2023) organized and compiled by the China Organ Transplantation Development Foundation has been published.
Since the release of the inaugural Report on Organ Transplantation in China in March 2018, five volumes have been published consecutively, establishing itself as the official and authoritative source of data on organ donation and transplantation in China.
The Chinese government places great importance on the development of human organ donation and transplantation. Over the past decade, with the advancement of clinical medicine and the improvement of relevant laws and regulations, especially the implementation of the Regulations on Human Organ Transplantation since May 2007, significant progress on organ donation and transplantation has been made in China. For instance, in 2016, six ministries including transportation, aviation, and railway, etc., jointly issued the Notice on the Establishment of a Green Channel for the Transport of Human Donor Organs, thereby establishing the green channel for the swift transport of human donor organ in order to save time for life-saving activities; in May 2017, the Law of the Peoples Republic of China on the Red Cross Society clarified the responsibilities of the Red Cross Society of China in facilitating organ donation, and exploration on establishing the mechanism of humanitarian assistance by charitable organizations has started ever since; in 2021, the Civil Code of the Peoples Republic of China was taken into effect, clearly stipulating the basic rules of organ donation; in July 2021, the Interim Provisions on Financial Management of Human Organ Procurement jointly issued by seven ministries clarified the cost of organ procurement and utilization, with a focus on establishing and improving the financial management mechanism on issues regarding human organ procurement procedures. This has significantly accelerated the organ transplant legalization process, representing a landmark development in Chinas organ donation and transplant reform.
In December 2023, the official promulgation of the Regulations on Human Organ Donation and Transplantation marked a new milestone in Chinas organ donation and transplantation, ushering it into a new stage of development. One of the most significant revisions to the Regulation was the addition of Donation to the title, which highlighted the importance of organ donation and demonstrated the Chinese governments commitment to organ donation and transplantation, as well as its confidence and determination to advance this cause of great love. Consequently, from this year on, the Report on Organ Transplantation Development in China has also be officially renamed to the Report on Organ Donation and Transplantation Development in China. Henceforth, organ transplantation in China, which is founded on organ donation, will persist in its pursuit of advancement in the public eye.
This year marks the beginning of fully implementing the spirit of the 20th National Congress of the Communist Party of China. The report of the 20th National Congress presented by President XI Jinping stated that, (we must) advance the Healthy China Initiative, give strategic priority to ensuring the peoples health and improve policies on promoting public health. China remains a significant player in the global health sector. Concurrently, Chinas health initiatives are also bolstered by international assistance. In recent years, China has taken the initiative to enhance exchanges and cooperation with a variety of countries, demonstrating the top-level planning, institutional construction, laws and regulations, and work systems of organ transplantation. At the same time, China provides relevant data and analysis results to the international community through the World Health Organizations Global Observatory on Donation and Transplantation, presenting the significant achievements of organ donation and transplantation related works in the country with transparency.
The 20th National Congress of the Communist Party of China emphasized the enhancement of peoples well-being and the improvement of quality of life. Against the backdrop of the new era, organ transplantation has been endowed with a higher mission. We will persevere and strive to build a comprehensive organ donation and transplantation system that aligns with ethical standards and conforms to the guidelines provided by the World Health Organization, and make every effort to reach new heights in science and technology development of organ transplantation.
This report is the fifth edition compiled by the China Organ Transplantation Development Foundation, which is a faithful record of the achievements of reform on organ transplantation development in China. The publication of this report is not only an in-depth summary and refinement of past work but also a clear insight and precise grasp of directions for future development.
As a result of the ongoing publication process, We have acquired experience and enhanced the quality of content. This publication, based on the previous editions, incorporates the latest research findings, practical experience, and international cutting-edge concepts. It provides more forward-looking and guiding references for promoting the development organ donation and transplantation in China, and also contributes unique Chinese wisdom and solutions to the global field of organ transplantation. The China Organ Transplantation Development Foundation will continue to uphold its mission, taking this report as a cornerstone, and make unremitting efforts in promoting the vigorous development of organ transplantation in China.
Editorial Committee of the Report on the Development
of Organ Donation and Transplantation in China
October, 2024
NOTE: Time period for data collection of Report on the Development of Organ Donation and Transplantationin China (2023): January 1, 2023 to December 31, 2023. Data of 31 provinces (autonomous regions and municipalities) and the Xinjiang Production and Construction Corps (excluding Hong Kong SAR, Macao SAR, and Taiwan Province) were included.