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Jeremy Chapman - Australia - Tuesday 29 - Who Guiding Principles and quest for self sufficiency
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  • To a large extent, this documented current practice

Transcript

  • 1. Seeking National Self- sufficiency in Australia Jeremy ChapmanCentre for Transplant and Renal Research, Westmead Millennium Institute, Sydney
  • 2. •CKD •CLD •CARDIAC •RESPIRATORY SUFFICIENCY ACHIEVEMENTS RESPONSIBILITIES •DIABETES•LEGISLATION •OTHER•DATA REGISTRIES NATIONAL•HEALTHCARE ACCOUNTABILITIESFACILITIES CAPACITY CONTROL •EDUCATION•HUMAN RESOURCES REGULATORY CONTROL •VACCINATION ETHICAL CONTEXT•REGIONAL •SCREENINGCOOPERATION •PREVENTION•CULTURAL & OPPORTUNITIES •BRIDGING RxRELIGIOUS CAPACITIES FOR CARE •DONATIONENVIRONMENT CAPACITIES •TRANSPLANT•FUNDING •RESEARCH
  • 3. The CKD problem in Australia Dialysis (n = 10,062) Listed (n = 1,310)Deceased donororgans Transplant (n=446)
  • 4. Who should we list for deceased organ transplantation? ? ? ? ? ANZDATA 2008 ? report ?
  • 5. “I wont be in for dialysis, I am leaving tonight because they are shooting my donor tomorrow.....” (july 2011)
  • 6. WHA ResolutionWHO Guiding Principles
  • 7. Professional Guidelines for care of donors and recipients www.tts.org www.kdigo.org
  • 8. Australian Organ and Tissue Authority1. New National Authority and network2. Specialist Hospital Staff and Systems3. New Funding for Hospitals4. Professional Education5. Community Awareness and Education6. Support for Donor Families7. Safe, Equitable and Transparent National Transplantation Processes8. National Eye and Tissue Donation and Transplantation Network9. Other Donor Initiatives including Living Donation Programs
  • 9. Consensusstatementfor recipient selectionand allocation ofdonor organs1. requested by the Government in 20092. determined by the transplant community and public in 2010 www.tsanz.com.au
  • 10. Organ Donation Rates in Australia We are moving in the right direction
  • 11. •CKD •CLD •CARDIAC •RESPIRATORY SUFFICIENCY ACHIEVEMENTS RESPONSIBILITIES •DIABETES•LEGISLATION •OTHER•DATA REGISTRIES NATIONAL•HEALTHCARE ACCOUNTABILITIESFACILITIES CAPACITY CONTROL •EDUCATION•HUMAN RESOURCES REGULATORY CONTROL •VACCINATION ETHICAL CONTEXT•REGIONAL •SCREENINGCOOPERATION •PREVENTION•CULTURAL & OPPORTUNITIES •BRIDGING RxRELIGIOUS CAPACITIES FOR CARE •DONATIONENVIRONMENT CAPACITIES •TRANSPLANT•FUNDING •RESEARCH