{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T11:05:30Z","timestamp":1782385530749,"version":"3.54.5"},"reference-count":16,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T00:00:00Z","timestamp":1763078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Bioethics"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Taiwan developed legal frameworks for organ transplantation earlier than many other East Asian countries and has achieved relatively successful clinical outcomes. Although its deceased donor rate remains lower than in countries such as Spain and the United States, it exceeds those of Japan, China, and Singapore. This success is often attributed to the efficiency of its transplant network and the strength of its legal infrastructure. However, the sociocultural context of these laws\u2014and how Taiwanese policies engage with prevailing beliefs about death and the body\u2014has received limited scholarly attention. This paper addresses that gap by analyzing legal and policy documents related to deceased organ donation in Taiwan, including legislation, official guidelines, and parliamentary records between 1987 and 2021. It argues that Taiwanese law reframes death with organ donation\u2014whether following brain death or cardiac arrest\u2014as a form of \u201cgood death,\u201d integrating consent into broader end\u2010of\u2010life decision\u2010making. By clarifying the legal and policy background, the analysis highlights how the government has sought to reconcile biomedical definitions of death with Confucian notions of bodily integrity and socially valued dying. As secularization progresses, this framing may make organ donation more socially acceptable. At the same time, ethical concerns arise from policy discourses that emphasize altruism and social contribution, which may lead individuals to forgo life\u2010sustaining treatments not solely based on personal reasoning, but from a perceived obligation to benefit family or society\u2014potentially constraining expressions of individual preference.<\/jats:p>","DOI":"10.1111\/bioe.70048","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T16:58:26Z","timestamp":1763139506000},"page":"117-123","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Reframing \u201cGood Death\u201d in Taiwan: An Ethical Review of Legislation on Deceased Organ Donation"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1556-7061","authenticated-orcid":false,"given":"Yicheng","family":"Chung","sequence":"first","affiliation":[{"name":"Department of Bioethics, Faculty of Life Sciences Kumamoto University Kumamoto Kumamoto Prefecture Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,14]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lt.23545"},{"key":"e_1_2_10_3_1","unstructured":"IRODaT Team \u201cInternational Registry in Organ Donation and Transplantation Newsletter 2022 \u201d (2023) www.irodat.org."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000001458"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000002562"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002820-200010000-00007"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3901"},{"key":"e_1_2_10_8_1","unstructured":"\u201cHuman Organ Transplantation Act (1987 Amended in 1993 2002 2003 2011 2015 2021) \u201d Law & Regulations Database of The Republic of China (Taiwan) https:\/\/law.moj.gov.tw\/ENG\/Index.aspx."},{"key":"e_1_2_10_9_1","unstructured":"\u201cGuidelines for the Determination of Brain Death (1987 Revised in 2004 2012) \u201d Laws & Regulations in the Official Site of Ministry of Health and Welfare Taiwan (in Chinese) \u201dhttps:\/\/law.moj.gov.tw\/LawClass\/LawAll.aspx?pcode=L0020079."},{"key":"e_1_2_10_10_1","unstructured":"Agenda Related Documents of the 8th Legislative Yuan of the Republic of China (Taiwan) \u201d Session 8 Sitting 8 pp.63\u201366 Parliamentary Records of the Internal Administration Committee of Legislative Yuan of the Republic of China (Taiwan) 1986\u20102021 (in Chinese) https:\/\/lis.ly.gov.tw\/lglawc\/lawsingle?0%5E8118C0060C0C818118C006970C81C919C8264E0C89A999D4460C."},{"key":"e_1_2_10_11_1","unstructured":"The Korean Organ Transplant Act(enacted in 1999 latest revision in 2024) https:\/\/elaw.klri.re.kr\/eng_service\/lawView.do?hseq=17145&lang=ENG."},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/1010539513476935"},{"key":"e_1_2_10_13_1","unstructured":"Guideline for Organ Donation Process After Cardiac Arrest(Ministry of Health and Welfare 2017) (in Chinese) https:\/\/www.mohw.gov.tw\/cp-3569-39046-1.html."},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781446200971.n32"},{"key":"e_1_2_10_15_1","first-page":"163","article-title":"Leaving Love Behind: Decision\u2010Making Process of the Organ Donation Families","volume":"28","author":"Huang S.","year":"2005","journal-title":"Research in Applied Psychology"},{"key":"e_1_2_10_16_1","unstructured":"\u201cPatient Right to Autonomy Act (2016 amended in 2021) \u201d Law & Regulations Database of The Republic of China (Taiwan) https:\/\/law.moj.gov.tw\/ENG\/LawClass\/LawAll.aspx?pcode=L0020189."},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(00)00378-6"}],"container-title":["Bioethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/bioe.70048","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T12:23:52Z","timestamp":1765974232000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/bioe.70048"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,14]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/bioe.70048"],"URL":"https:\/\/doi.org\/10.1111\/bioe.70048","archive":["Portico"],"relation":{},"ISSN":["0269-9702","1467-8519"],"issn-type":[{"value":"0269-9702","type":"print"},{"value":"1467-8519","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,14]]},"assertion":[{"value":"2024-09-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}