Pregledni rad
Development of the Croatian model of organ donation and transplantation
Stela Živčić-Ćosić
orcid.org/0000-0002-0770-8808
; Department of Nephrology and Dialysis, Department of Internal Medicine, University Hospital Rijeka, School of Medicine, University of Rijeka, Rijeka, Croatia
Mirela Bušić
; Institute for Transplantation and Biomedicine, Ministry of Health Zagreb, Croatia
Željko Župan
; Department of Anesthesiology and Intensive Care, University Hospital Rijeka, School of Medicine, University of Rijeka, Rijeka, Croatia
Gordana Pelčić
orcid.org/0000-0002-3322-1470
; Department of Social Sciences and Medical Humanities, School of Medicine, University of Rijeka, Rijeka, Croatia
Mladen Ivanovski
; Department of Anesthesiology and Intensive Care, University Hospital Rijeka, School of Medicine, University of Rijeka, Rijeka, Croatia
Sanjin Rački
orcid.org/0000-0002-3736-0929
; Department of Nephrology and Dialysis, Department of Internal Medicine, University Hospital Rijeka, School of Medicine, University of Rijeka, Rijeka, Croatia
Sažetak
Abstract During the past ten years, the efforts to improve
and organize the national transplantation system in Croatia
have resulted in a steadily growing donor rate, which
reached its highest level in 2011, with 33.6 utilized donors
per million population (p.m.p.). Nowadays, Croatia is one of
the leading countries in the world according to deceased
donation and transplantation rates. Between 2008 and
2011, the waiting list for kidney transplantation decreased
by 37.2% (from 430 to 270 persons waiting for a transplant)
and the median waiting time decreased from 46 to 24
months. The Croatian model has been internationally recognized
as successful and there are plans for its implementation
in other countries. We analyzed the key factors that
contributed to the development of this successful model
for organ donation and transplantation. These are primarily
the appointment of hospital and national transplant coordinators,
implementation of a new financial model with
donor hospital reimbursement, public awareness campaign,
international cooperation, adoption of new legislation,
and implementation of a donor quality assurance
program. The selection of key factors is based on the authors’
opinions; we are open for further discussion and propose
systematic research into the issue.
Ključne riječi
Hrčak ID:
102798
URI
Datum izdavanja:
15.2.2013.
Posjeta: 2.332 *