ATO.Puglia@excite.it
Testo in Italiano
Testo in Spagnolo
THE ATO MAKES KNOWN
OFFICE OF THE HEALTH
Scheme Of National Sanitary Plan 2003/2005
Approved By the Suggestion Of the Ministers
IL 18/04/03
3.6. to promote the transplantations of organ
As it regards the transplantations of organ,
it is known that the advantages they prevail
on the complicanzes (rejection, infections
and them consequences) with a survival to
five years understood between 70% and him
80%, according to the transplanted organ.
And', however, necessary to keep on pursuing
the retrieval of the organs in all the Regions.
In our Country, nevertheless, the levels
of activity are disomogenei among the different
Regions, both in terms of donations, and
in terms of transplantation, and this doesn't
certainly contribute to guarantee that parity
day accessed the cares which the patients
have the right.
During the last triennio the general increase
of the number of donations and the quality
of the transplantations in Italy has brought
our Country to the level of the principal
European Nations, and the number of the donors
of organ is increased of 42,3%, with a general
increase of the 27,4% of the I number some
transplantations.
They are objective strategic in this field:
1. to promote the evaluation day quality
of the activity of transplantation day organs,
fabrics and cells staminali;
2. to favor the best use of the available
organs, through the diffusion of advanced
techniques, training the operators and favoring
him/it carrying out of these activities in
Centers of Excellence;
3. to predispose a national Plan for collecting,
maintenance, distribution and certification
of the fabrics;
4. to verify the possibility that in the
opportune cases organs are also used by living
donor, after a careful evaluation of the
application of the normative one in vigor
and of the Lines it Drives, formulated by
the Against National Transplantations. You/he/she
must be remembered however that the donation
(the living one is not exempt from sanitary
and social dangers and it is therefore to
consider him residual in comparison to the
dead body donation that it has to stay the
principal objective of the National Sanitary
Service;
5. to activate objective and transparent
algorithms for the assignment of the organs
to transplant and for the monitoraggio of
the transplanted patients, uniform on the
whole national territory;
6. to foresee that the informative flow of
the data related to the transplantations
of cells staminali emopoietiche: is integrated
within the System Informative Transplantations,
also through the collaboration with the Italian
Group for the Transplantation of Bony Marrow
(GITMO) and the organization Grace (Group
day Harvest and Amplification of the Cells
Staminali Emopoietiche) that it gathers the
banks of cells staminali placentari;
The health's promotion
1. to define the Paper of the Services of
the Centers of transplantation foreseeing
continuous updatings,;
2. to extend the development of the System
Informative Transplantations;
3. to increase the information to the citizens
around the qualitative and quantitative activities
of the Centers of transplantation,
4. for the next future, besides it it is
necessary to proceed to reduce the discrepancy
among the Regions in terms of activity of
retrieval donors to reach the number of the
30 donations for million inhabitants,;
5. to foresee systems day verifies on the
effectiveness of the activity of the local
coordinators, contextually to the recognition
of incentives;
6. to foresee that in all the reanimations
is realized procedures to retrieve all the
potential donors and the errand is available
for the check of the death;
7. to predispose, for the famigliaris of
the subjects submitted to check of death,
a psychological support and of help;
8. to effect the financing for function,
as individualized in the article 8 sexieses
of the Decree Legislative 19 June 1999 ns.
229, overcoming the financing for DRG;
9. to guard the respect of the Lines Drives
for the living donor transplantations activating
particularly the organism of part third anticipated
ivi to correctly inform the parts in cause
on the advantages and disadvantages of the
procedures;
10. monitorare the activity of the single
Regions around the collectings of human fabrics
and their use, the activation day banks of
the regional fabrics or interregionali, their
accreditation and their functionality;
11. to insert, also the transplantations
of cells staminali emopoietiche among the
transplantations of organ and fabrics picking
up the data near the Center National Transplantations,
and connecting this last with the register
of the living donors of bony marrow founded
near the hospital Galliera in Genoa;
12. to favor the development of activity
of search connected to the activities of
transplantation;
13. to support the activation day standardize
computer procedures, above all for the management
of the lists day attended;
14. to promote suitable countries of information
revolts to the citizens;
15. to realize the selection of the receivers
the transplantation with shared algorithms
and procedures informatizzate, documenting
every passage of the decisional trial to
the goals of a superior control;
16. to appraise and the results of the activities
of collecting and transplantation of organs
to make public;
17. the criterions of admission of the patient
to make more and more objective and transparent
to the transplantation.
The reception office ATO Puglia Onlus
Le segreteria ATO Puglia Onlus
-----------------------------
--------------------------------------------