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Seeking National Self-
 sufficiency in Australia

             Jeremy Chapman
Centre for Transplant and Renal Research,
    Westmead Millennium Institute,
                 Sydney
•CKD
                                                                           •CLD
                                                                           •CARDIAC
                                                                           •RESPIRATORY
                   SUFFICIENCY     ACHIEVEMENTS         RESPONSIBILITIES
                                                                           •DIABETES
•LEGISLATION
                                                                           •OTHER
•DATA REGISTRIES
                                        NATIONAL
•HEALTHCARE                          ACCOUNTABILITIES
FACILITIES                          CAPACITY CONTROL                       •EDUCATION
•HUMAN RESOURCES                   REGULATORY CONTROL                      •VACCINATION
                                     ETHICAL CONTEXT
•REGIONAL                                                                  •SCREENING
COOPERATION                                                                •PREVENTION
•CULTURAL &                                             OPPORTUNITIES      •BRIDGING Rx
RELIGIOUS             CAPACITIES                          FOR CARE         •DONATION
ENVIRONMENT     CAPACITIES                                                 •TRANSPLANT
•FUNDING                                                                   •RESEARCH
The CKD problem in Australia

                 Dialysis (n = 10,062)


                      Listed (n = 1,310)

Deceased donor
organs


                          Transplant
                           (n=446)
Who should we list for deceased
   organ transplantation?




                   ?   ?   ?   ?   ANZDATA 2008
               ?                   report

           ?
“I wont be in for dialysis, I am leaving tonight
     because they are shooting my donor
          tomorrow.....” (july 2011)
Jeremy Chapman - Australia - Tuesday 29 - Who Guiding Principles and quest for self sufficiency
WHA Resolution
WHO Guiding Principles
Professional Guidelines for care of donors
              and recipients




                                 www.tts.org
                                www.kdigo.org
Jeremy Chapman - Australia - Tuesday 29 - Who Guiding Principles and quest for self sufficiency
Australian Organ and Tissue
              Authority

1.   New National Authority and network
2.   Specialist Hospital Staff and Systems
3.   New Funding for Hospitals
4.   Professional Education
5.   Community Awareness and Education
6.   Support for Donor Families
7.   Safe, Equitable and Transparent National
     Transplantation Processes
8.   National Eye and Tissue Donation and
     Transplantation Network
9.   Other Donor Initiatives including Living
     Donation Programs
Consensus
statement

for recipient selection
and allocation of
donor organs

1. requested by the
   Government in 2009

2. determined by the
   transplant community
   and public in 2010

  www.tsanz.com.au
Organ Donation Rates in Australia




 We are moving in the right direction
•CKD
                                                                           •CLD
                                                                           •CARDIAC
                                                                           •RESPIRATORY
                   SUFFICIENCY     ACHIEVEMENTS         RESPONSIBILITIES
                                                                           •DIABETES
•LEGISLATION
                                                                           •OTHER
•DATA REGISTRIES
                                        NATIONAL
•HEALTHCARE                          ACCOUNTABILITIES
FACILITIES                          CAPACITY CONTROL                       •EDUCATION
•HUMAN RESOURCES                   REGULATORY CONTROL                      •VACCINATION
                                     ETHICAL CONTEXT
•REGIONAL                                                                  •SCREENING
COOPERATION                                                                •PREVENTION
•CULTURAL &                                             OPPORTUNITIES      •BRIDGING Rx
RELIGIOUS             CAPACITIES                          FOR CARE         •DONATION
ENVIRONMENT     CAPACITIES                                                 •TRANSPLANT
•FUNDING                                                                   •RESEARCH

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Jeremy Chapman - Australia - Tuesday 29 - Who Guiding Principles and quest for self sufficiency

  • 1. Seeking National Self- sufficiency in Australia Jeremy Chapman Centre for Transplant and Renal Research, Westmead Millennium Institute, Sydney
  • 2. •CKD •CLD •CARDIAC •RESPIRATORY SUFFICIENCY ACHIEVEMENTS RESPONSIBILITIES •DIABETES •LEGISLATION •OTHER •DATA REGISTRIES NATIONAL •HEALTHCARE ACCOUNTABILITIES FACILITIES CAPACITY CONTROL •EDUCATION •HUMAN RESOURCES REGULATORY CONTROL •VACCINATION ETHICAL CONTEXT •REGIONAL •SCREENING COOPERATION •PREVENTION •CULTURAL & OPPORTUNITIES •BRIDGING Rx RELIGIOUS CAPACITIES FOR CARE •DONATION ENVIRONMENT CAPACITIES •TRANSPLANT •FUNDING •RESEARCH
  • 3. The CKD problem in Australia Dialysis (n = 10,062) Listed (n = 1,310) Deceased donor organs 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)
  • 8. Professional Guidelines for care of donors and recipients www.tts.org www.kdigo.org
  • 10. Australian Organ and Tissue Authority 1. New National Authority and network 2. Specialist Hospital Staff and Systems 3. New Funding for Hospitals 4. Professional Education 5. Community Awareness and Education 6. Support for Donor Families 7. Safe, Equitable and Transparent National Transplantation Processes 8. National Eye and Tissue Donation and Transplantation Network 9. Other Donor Initiatives including Living Donation Programs
  • 11. Consensus statement for recipient selection and allocation of donor organs 1. requested by the Government in 2009 2. determined by the transplant community and public in 2010 www.tsanz.com.au
  • 12. Organ Donation Rates in Australia We are moving in the right direction
  • 13. •CKD •CLD •CARDIAC •RESPIRATORY SUFFICIENCY ACHIEVEMENTS RESPONSIBILITIES •DIABETES •LEGISLATION •OTHER •DATA REGISTRIES NATIONAL •HEALTHCARE ACCOUNTABILITIES FACILITIES CAPACITY CONTROL •EDUCATION •HUMAN RESOURCES REGULATORY CONTROL •VACCINATION ETHICAL CONTEXT •REGIONAL •SCREENING COOPERATION •PREVENTION •CULTURAL & OPPORTUNITIES •BRIDGING Rx RELIGIOUS CAPACITIES FOR CARE •DONATION ENVIRONMENT CAPACITIES •TRANSPLANT •FUNDING •RESEARCH

Hinweis der Redaktion

  1. To a large extent, this documented current practice