Ten lessons from the Spanish model of organ donation and transplantation
File(s)
Published version
Author(s)
Type
Journal Article
Abstract
The organ donation and transplantation program in Spain has long been considered the gold standard worldwide. An in-depth understanding of the Spanish program may promote the development and reform of transplant programs in other countries. Here, we present a narrative literature review of the Spanish organ donation and transplantation program supplemented by expert feedback and presented according to a conceptual framework of best practices in the field. Core features of the Spanish program include its three-tiered governing structure, close and collaborative relationships with the media, dedicated professional roles, a comprehensive reimbursement strategy, and intensive tailored training programs for all personnel. Several more sophisticated measures have also been implemented, including those focused on advanced donation after circulatory death (DCD) and expanded criteria for organ donation. The overall program is driven by a culture of research, innovation, and continuous commitment and complemented by successful strategies in prevention of end-stage liver and renal disease. Countries seeking ways to reform their current transplant systems might adopt core features and may ultimately aspire to include the aforementioned sophisticated measures. Countries intent on reforming their transplant system should also introduce programs that support living donation, an area of the Spanish program with potential for further improvement.
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 Streit, Johnston-Webber, Mah, Prionas, Wharton, Casanova, 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/37305337
PII: 11009
Subjects
CHRONIC KIDNEY-DISEASE
Life Sciences & Biomedicine
organ donation
organ transplantation
POPULATION
RISK-FACTORS
Science & Technology
Spain
SPAIN
Surgery
SYSTEM
transplant program
Transplantation
transplantation policy
Publication Status
Published
Coverage Spatial
Switzerland
Article Number
11009
Date Publish Online
2023-05-25