How to structure a successful organ donation and transplantation system in eight (not so easy) steps: an Italian case study
File(s)
Published version
Author(s)
Type
Journal Article
Abstract
Valuable information can be obtained from a systematic evaluation of a successful national transplant program. This paper provides an overview of Italy’s solid organ transplantation program which is coordinated by the National Transplant Network (Rete Nazionale Trapianti) and The National Transplant Center (Centro Nazionale Trapianti). The analysis is based on a system-level conceptual framework and identifies components of the Italian system that have contributed to improving rates of organ donation and transplantation. A narrative literature review was conducted and the findings were validated iteratively with input from subject matter experts. The results were organized into eight critical steps, including 1) generating legal definitions of living and deceased donation, 2) taking steps to ensure that altruistic donation and transplantation become part of the national culture and a point of pride, 3) seeking out existing examples of successful programs, 4) creating a situation in which it is easy to become a donor, 5) learning from mistakes, 6) working to diminish risk factors that lead to the need for organ donation, 7) increasing the rate of donations and transplantations via innovative strategies and policies, and 8) planning for a system that supports growth.
Date Issued
2023-05-25
Date Acceptance
2023-04-14
Citation
Transplant International, 2023, 36
ISSN
0934-0874
Publisher
Frontiers Media S.A.
Journal / Book Title
Transplant International
Volume
36
Copyright Statement
© 2023 Mah, Johnston-Webber, Prionas, Romagnoli, Streit, Wharton, Mossialos and Papalois. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
License URL
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/37359826
PII: 11010
Subjects
Centro Nazionale Trapianti
Italy
Life Sciences & Biomedicine
organ donation
organ transplantation
PREVALENCE
RECIPIENTS
Science & Technology
Surgery
the Italian transplant network
transplant system
Transplantation
transplantation policy
Publication Status
Published
Coverage Spatial
Switzerland
Article Number
11010
Date Publish Online
2023-05-25