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Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
Mirela Busic  - Croatia - Tuesday 29 - Madrid Group Open Meeting
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Mirela Busic - Croatia - Tuesday 29 - Madrid Group Open Meeting

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  • In total there were transplants in 2002, an increase of 5.2% over the previous year. O rgan shortage still remane the main limiting factor of transplant program.
  • Transcript

    • 1. Organ Donation and Transplantation C ROATIAN MODEL <ul><li>Mirela Bušić,MD </li></ul><ul><li>National transplant coordinator </li></ul><ul><li>Ministry of Health and Social Welfare Republic of Croatia </li></ul>MINISTRY OF HEALTH AND SOCIAL WELFARE , THE REPUBLIC OF CROATIA
    • 2. Croatia is situated at the meeting point of the Mediterranean, the Alps and the Pannonian plains. The characteristics of each have merged into a unique and charming harmony of opposites. Although its main attraction is the Adriatic coast and islands , Croatia is full of surprises and challenges MINISTRY OF HEALTH AND SOCIAL WELFARE
    • 3. CROATIA <ul><ul><ul><ul><ul><li>4,4 million inhabitants </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>3 3 acute care hospitals </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>5 transplant centers </li></ul></ul></ul></ul></ul><ul><ul><ul><ul><ul><li>10 transplant programs </li></ul></ul></ul></ul></ul>MINISTRY OF HEALTH AND SOCIAL WELFARE
    • 4. <ul><li>HEALTH CARE SYSTEM </li></ul><ul><li>Croatia has a good standard of health service despite war and economic privation </li></ul><ul><li>GDP US$ per capita 15 636,60 compering the EU avarage 36 663,1 </li></ul><ul><li>Croatia operates a social health insurance system ( Bismarck model) . Public funds for health care originate from two main sources: </li></ul><ul><ul><li>- contributions for mandatory health insurance </li></ul></ul><ul><ul><li>- funds collected by general taxation </li></ul></ul><ul><li>The healthcare system is controlled centrally </li></ul><ul><li>Health care is mainly provideed by public institutions </li></ul>MINISTRY OF HEALTH AND SOCIAL WELFARE
    • 5. ORGAN DONATION SYSTEM IN CROATIA <ul><li>Past </li></ul><ul><li>Present </li></ul><ul><li>Future </li></ul>MINISTRY OF HEALTH AND SOCIAL WELFARE
    • 6. 0 10 20 30 40 50 60 70 80 90 Spain Austria Belgium/Lux. U.S.A. Portugal France Switzerland Norway Czech Rep. Canada Denmark Italy Sweden U.K. Finland Ireland Germany Netherlands Israel Australia/NZ Hungary Croatia Greece CROATIAN TRANSPLANT PROGRAM Transplant Annual rate pmp 1999
    • 7. THE CONDITION TEN YEARS AGO <ul><li>Organ shortage (donor rate 2,7pmp) </li></ul><ul><li>Transplant programs almost completely shut down </li></ul><ul><li>Long and outdated waiting lists </li></ul><ul><li>A proximately 800 patients on the national kidney waiting list </li></ul><ul><li>A verage waiting time for a kidney t x 7 - 15 years </li></ul><ul><li>L ack of organisation (NTO) and health administration support </li></ul><ul><li>V ague organ allocation criteria (heart, liver ) </li></ul><ul><li>F aulty legislation </li></ul>
    • 8. DONOR NUMBER 1991-2 011
    • 9. ACTIONS TAKEN TO INCREASE DONOR RATE IN CROATIA <ul><ul><li>2000-2010 </li></ul></ul><ul><li>In-house coordinators nominated in each acute hospital </li></ul><ul><li>National Transplant Coordinator appointed in the ministry </li></ul><ul><li>24 hour Coordination “duty desk “established at the Ministry </li></ul><ul><li>Train n ing programs for coordinators have been launched </li></ul><ul><li>New legislation adopted </li></ul><ul><li>Hospital reimbursment for don ation proces provided </li></ul><ul><li>Public awareness campaign launched ( National Donor Day ,EDD) </li></ul><ul><li>Croatian Donor Network ( donor Card) established </li></ul><ul><li>International cooperation – E T membership </li></ul><ul><li>Do onor quality assurance program started </li></ul>MINISTRY OF HEALTH AND SOCIAL WELFARE
    • 10. ORGANIZATION <ul><li>2 LEVEL NETWORK OF TRANSPLANT COORDINATORS </li></ul><ul><li>HOSPITAL LEVEL: </li></ul><ul><li>1998 network of in house coordinators </li></ul><ul><li>NATIONAL LEVEL: </li></ul><ul><li>2000 National transplant coordinator appointed in the MoH </li></ul><ul><li>2007 Department for tx (3 persons + 6 medical students) </li></ul>MINISTRY OF HEALTH AND SOCIAL WELFARE
    • 11. IMPORTANCE OF TRAINED ICU STAFF
    • 12. COORDINATORS NETWORK NATIONAL TRANSPLANTATION NETWORK MINISTRY OF HEALTH AND SOCIAL WELFARE
    • 13. EUROPEAN DONOR DAY 2010 <ul><li>S TUDENT MEDICAL ASSOCIATION “CROMSIC ” AT THE CENTRAL CITY SQUARE IN ZAGREB </li></ul>
    • 14. EUROPEAN DONOR DAY 2010 PRESS CONFERENCE
    • 15. LIVE TV COVERAGE – CROATIAN NATIONAL TV (HRT)
    • 16. CROATIA - MEMBER OF EUROTRANSPLANT May 25th 2007 MINISTRY OF HEALTH AND SOCIAL WELFARE
    • 17. <ul><li>Joining ET positively influenced Croatia’s National transplant system resulting in: </li></ul><ul><li>Improvment in organ allocation process </li></ul><ul><li>Quality Improvements in tissue typing standards </li></ul><ul><li>(2 labs achieved EFI accreditation) </li></ul><ul><li>Quality i mprovement in transplantation </li></ul><ul><li>practice-ongoing </li></ul><ul><li>Decrease in lost of organs </li></ul><ul><li>Public trust </li></ul>MINISTRY OF HEALTH AND SOCIAL WELFARE
    • 18. REALISED DONORS 2009 and 2010 2009 + 64,93% Total: 77 Total: 127 MINISTRY OF HEALTH AND SOCIAL WELFARE
    • 19.
    • 20. TRANSPLANTED KIDNEYS 2010 <ul><li>Source: Newsletter Transplant of the Council of Europe 2011 </li></ul>
    • 21. TRANSPLANTED LIVERS 2010 <ul><li>Source: Newsletter Transplant of the Council of Europe 2011 </li></ul>
    • 22. ORGAN DONORS 2010 <ul><li>Source: Newsletter Transplant of the Council of Europe 2011 </li></ul>
    • 23.  
    • 24. CONCLUSIONS <ul><li>The specificity of the Croatian model is successful integration o f </li></ul><ul><li>elements of best „European“ practice and organizational </li></ul><ul><li>solutions in the context of political and socio-economic </li></ul><ul><li>circumstances of the Croatian health system ; </li></ul><ul><ul><li>ORGANISATION- Elements of the Spanish Model T ransplant coordinators network at 2 level </li></ul></ul><ul><ul><ul><ul><li>Trainning & E ducational programs </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Finacial incentive model (hospital reimbursment) </li></ul></ul></ul></ul><ul><ul><li>ALLOCATION SYSTEM - ET Membership </li></ul></ul><ul><ul><ul><ul><li>Meeting preconditions for membership </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Twinning project on lung translant program </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Excange of knowledge, expertise and experience </li></ul></ul></ul></ul>
    • 25. (Source: www.ont.es/publicationes)
    • 26. Croatia Regional Health Development center <ul><li>SEE Meeting, Skopje, Macedonia , May 26 - 27 , 2011 </li></ul>The SEE (HN) Project on Organ Donation and Transplant Medicine, RHDC Croatia - Ministry of Health and Social Welfare Republic of Croatia
    • 27.  
    • 28. Ministry of Health and Social Welfare Republic of Croatia
    • 29. 2.Tečaj za transplantacijske koordinatore Brijuni 05.-08.11.09 Thank you E-mail:mirela.busic@mzss.hr

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