ABSTRACT

Transplantation is the best option for those patients with terminal organ failure, both in terms of survival and quality of life. The European Commission has been working hard since 2007 to improve the quality and safety of organs, increase organ availability, and make national transplantation systems more efficient and accessible. Measures similar to those proposed by the European Commission were initially adopted in Spain after the Spanish National Transplant Organization (ONT) was created in 1989. At the end of the 1980s, the rate of Spanish organ deceased donation was mid-low in contrast to other European countries, with around 14 donors' per million population (pmp). More recently, Croatia and Portugal have adopted the Spanish Model in part, establishing a national transplant agency, a network of procurement hospitals, and employing resident transplant coordinator (TC) in hospitals. As a result, from 2006 to 2009, both countries increased their deceased donation rates by 37" and 54" respectively.