Department of Medicine, Dalhousie University, Halifax, NS, Canada.
Department of Health Policy, London School of Economics and Political Science, London, United Kingdom.
Transpl Int. 2023 May 25;36:11011. doi: 10.3389/ti.2023.11011. eCollection 2023.
The Republic of Croatia is a global leader in organ donation and transplantation despite having fewer resources and more modest healthcare expenditures than other countries in the European Union. The results of an extensive literature review were combined with expert input in an iterative multi-step data collection and evaluation process designed to assess trends in Croatian organ donation and transplantation and identify key elements, policy changes, and drivers of the system that have contributed to its success. Multiple sources of evidence were used in this study, including primary documents, national and international transplantation reports, and insights from critical informants and content experts. The results highlight several key organizational reforms that have substantially improved the performance of the Croatian transplant program. Our findings emphasize the importance of strong central governance led by an empowered national clinical leader acting under the direct auspices of the Ministry of Health and a comprehensive and progressive national plan. The Croatian transplant system is notable for its integrated approach and efficient manner of managing scarce health resources. Collectively, the results suggest that Croatia has become nearly self-sufficient due to its systematic implementation of the guiding principles for organ donation and transplantation.
克罗地亚共和国是器官捐赠和移植领域的全球领导者，尽管其资源较少，医疗保健支出也低于欧盟其他国家，但取得了这样的成就。本研究综合了广泛的文献综述结果和专家意见，通过迭代式多步骤数据收集和评估过程，评估了克罗地亚器官捐赠和移植的趋势，并确定了推动其成功的关键要素、政策变化和系统驱动因素。本研究使用了多种证据来源，包括主要文件、国家和国际移植报告，以及关键知情人和内容专家的见解。研究结果强调了几项关键的组织改革，这些改革极大地提高了克罗地亚移植项目的绩效。我们的研究结果强调了强有力的中央治理的重要性，这需要由一个有能力的国家临床领导者在卫生部的直接支持下领导，并实施全面和渐进的国家计划。克罗地亚的移植系统以其综合方法和高效管理稀缺卫生资源的方式而闻名。总的来说，研究结果表明，由于系统地实施了器官捐赠和移植的指导原则，克罗地亚已经几乎实现了自给自足。
