engleski

The Croatian Model of Organ Donation and Transplantation

During the past ten years, efforts to improve and organize the national transplantation system in Croatia resulted in a steadily growing donor rate, which has reached its highest level in 2011 with 33.5 utilized donors pmp. Remarkably, in the last two years Croatia has experienced a „boom“ of organ donation and transplantation, and nowadays it is one of the leading countries of the world in deceased donation and transplantation. That provided a much higher availability of these treatment modes for the inhabitants of Croatia than for patients living in other European countries. In the period between 2007 and 2011 the waiting list decreased by 36% (from 440 to 280 persons waiting for a transplant) and the median waiting time for kidney transplantation decreased from 46 to 24 months. Many European countries have developed different organisational models and strategies to enhance organ donation and transplantation, but in most countries the number of organs available for transplantation is still lagging far behind the expectations and their real potential. The Croatian model has recently been recognized as successful and it has the potential to become implemented in other countries. We analyzed the most important factors which contributed to the increase of deceased donation in Croatia and made it possible that the Croatian model has become so successful. The obtained conclusions are based on the authors' opinions and they are open for further discussion, and an invitation for a systematic research which will define the factors, mostly contributing to the development of the „successful model for organ donation and transplantation“.

Organ donation ; transplantation

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