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Lessons from the Portuguese solid organ donation and transplantation system: achieving success despite challenging conditions

Streit, Simon, Johnston-Webber, Charlotte, Mah, Jasmine, Prionas, Apostolos, Wharton, George, Paulino, Jorge, Franca, Ana, Mossialos, Elias ORCID: 0000-0001-8664-9297 and Papalois, Vassilios (2023) Lessons from the Portuguese solid organ donation and transplantation system: achieving success despite challenging conditions. Transplant International, 36. ISSN 0934-0874

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Identification Number: 10.3389/ti.2023.11008


Over the past two decades, Portugal has become one of the world leaders in organ donation and transplantation despite significant financial constraints. This study highlights how Portugal achieved success in organ donation and transplantation and discusses how this information might be used by other countries that are seeking to reform their national programs. To accomplish this goal, we performed a narrative review of relevant academic and grey literature and revised our results after consultation with two national experts. Our findings were then synthesized according to a conceptual framework for organ donation and transplantation programs. Our results revealed several key strategies used by the Portuguese organ donation and transplantation program, including collaboration with Spain and other European nations, a focus on tertiary prevention, and sustained financial commitment. This report also explores how cooperative efforts were facilitated by geographical, governmental, and cultural proximity to Spain, a world leader in organ donation and transplantation. In conclusion, our review of the Portuguese experience provides insight into the development of organ donation and transplantation systems. However, other countries seeking to reform their national transplant systems will need to adapt these policies and practices to align with their unique cultures and contexts.

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 13:48
Last Modified: 26 May 2024 04:48

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