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Ten lessons from the Spanish model of organ donation and transplantation

Streit, Simon, Johnston-Webber, Charlotte, Mah, Jasmine, Prionas, Apostolos, Wharton, George, Casanova, Daniel, Mossialos, Elias ORCID: 0000-0001-8664-9297 and Papalois, Vassilios (2023) Ten lessons from the Spanish model of organ donation and transplantation. Transplant International, 36. ISSN 0934-0874

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Identification Number: 10.3389/ti.2023.11009


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.

Item Type: Article
Additional Information: © 2023 The Author(s)
Divisions: Health Policy
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
R Medicine > RD Surgery
Date Deposited: 27 Jun 2023 12:57
Last Modified: 26 May 2024 04:48

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