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 THE ITALIAN TRANSPLANT SYSTEM
In Italy the network that co-ordinates retrieval and transplant activities is articulated on four levels: local, regional, inter-regional and national.
Local co-ordination Experienced physicians in the field of donation transmit data on potential donors to the regional centre, keep in contact with donors' families, organise information campaigns in accordance with the regional centre, follow all the organisational procedures in order to carry out retrievals and transplants.
Regional co-ordination It is made up by the regional reference centres.
In the regional area, the Regional Transplant Centre manages: organ donations and relations with ICUs, waiting lists and relations with external centres, organ and tissues retrievals, transplants, relations with transplant centres, relations with the Inter-regional centre;
Inter-regional co-ordination Currently three inter-regional organisations cover the whole national territory. The three organisations are:
AIRT (Inter-regional Transplant Association) covers Piedmont, Valle d'Aosta, Tuscany, Puglia and Emilia-Romagna and the Autonomous Province of Bolzano;
NITp (Nord Italia Transplant program) covers Friuli, Liguria, Lombardy, Marche, Veneto and the Autonomous Province of Trento;
OCST (Southern-Central Organisation for Transplants) covers Abruzzo, Basilicata, Calabria, Campania, Lazio, Molise, Sardinia, Sicily and Umbria.
The Inter-regional Transplant Centres manage relations with Regional Centres in their jurisdiction area as concerns reporting on potential donors and allocations of organs, urgencies, organ given as advance, return of organs, contacts with other Inter-regional Centres and with the National Transplant Centre. They also update registries of retrievals carried out over the national territory, of transplanted organs, of follow-up and organs exchanged with other co-ordination organisations.
THE NATIONAL TRANSPLANT CENTRE
(www.trapianti.ministerosalute.it)
The National Transplant Centre (CNT) is a technical body of the Italian Ministry of Health, established under Law 91, dated April 1 1999, in order to promote, coordinate and manage organ and tissue donation and transplantation in Italy. The Centre, located in the Italian National Institute of Health (ISS), is chaired by the President of ISS, and is composed by the General Director, nominated and appointed by the Health Minister, and by representatives of the Inter-regional or Regional Centre, nominated by State-Regions Conference. The Center is supported by the Transplant Standing Technical Council, that prepares the technical-operational guidelines for carrying out retrieval and transplant activities, giving advisory opinions to CNT.
The CNT also avails itself of experts from the Biomedical Engeneering and Immunology Laboratories of the National Institute of Health.
Another task is to highlight strategies to put into practice the law and the all the activities on the procedure abiding.
Law 91 (art. 8) also establishes in detail the following functions of CNT:
- controlling, through information systems, collected data on donations, transplants and waiting lists;
- setting criteria for preparation of operating protocols, as rules for allocation of organs and tissues, currently carried out by regional and inter-regional centres;
- issuing guidelines on regional and inter-regional centres activities;
- allocating organs in urgent situations;
- establishing homogeneous criteria to evaluate the quality of structures involved in transplant activities;
- promoting and co-ordinating relations with EOEOs (European Organ Exchange Organizations);
- managing National Programmes regulated by shared rules (i.e. paediatric and liver urgencies) and programmes not regulated by ad hoc guidelines but generally accepted (i.e. pancreas, bowels, HIV, lung, kidney and liver)
In addition to these important tasks, the law assigns to CNT the promotion of information campaigns on organ donation, retrieval and transplantation, the management of the transplant information system (SIT) and an effective role in the organisation and management of the Italian transplant system.
The principles that support all the activities of the CNT are:
- ATTENTION TO PATIENT'S NEED
- CREATION OF A NETWORK
- SHARING AND CO-DECISION
- EQUITY AND TRANSPARENCY
- DISSEMINATION OF THE INFORMATION
Download full presentation (PDF, 248 KB)
Attached files:
Legislation and Guidelines (PDF, 68 KB)
DIRECTIVE 2004/23/EC OF THE EUROPEAN PARLIAMENT AND OF THE COUNCIL (PDF, 243 KB)
Information Technology (PDF, 58 KB)
Information to Citizens (PDF, 64 KB)
Projects and International Affairs (PDF, 198 KB)
Quality and Safety (PDF, 96 KB)
Safety Guidelines (PDF, 62 KB)
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