Effective Public Health Policy in Organ Donation

This book shows how a successful public health policy designed to foster the culture of brain death diagnosis and improve the interaction between Organ Procurement Organizations and Intra-Hospital Organ and Tissue Donation Committees for Transplants led the Brazilian state of Paraná to reach one of the highest rates of effective organ donors per million population in the world.

Brazil has the largest public transplant system in the world, and each of the country’s 26 states is responsible for organizing its own transplant system. The state of Paraná, with 11 million inhabitants, has stood out in this regard in the last decade. It reached 47.7 effective donors per million population (pmp), performing better than countries such as the United States (33.3/pmp), Canada (21.9/pmp), Portugal (33.6/pmp) and Croatia (41.2/pmp).

The remodeling of Paraná’s transplant system, between 2011 and 2020, was based on the recognized Spanish model, but has some unique characteristics.This book seeks to describe all the steps of this remodeling, describing its characteristics and explaining how the new system was built.

By presenting an in-depth analysis of a local successful case, Effective Public Health Policy in Organ Donation: Lessons from a Universal Public Health System in Brazil seeks to provide useful information to policy makers, health professionals and students from different fields within the health sciences interested in understanding how public health policies can improve organ donation rates, especially in developing countries.

Fábio Silveira is a physician graduated from the Pontifical Catholic University of Paraná. Medical residency in general surgery by PUCPR, with an area of expertise in video-laparoscopic surgery (RQE 192). Title of Specialist in General Surgery by the Brazilian College of Surgeons (RQE 13560). Title of Specialist in Digestive Tract Surgery by the Brazilian College of Digestive Surgery (RQE 15509). He operates in the area of liver, pancreas and kidney transplantation. Founding member of the Institute for Liver Care. Member of the Brazilian Association of Organ Transplantation (ABTO), the International Society of Liver Transplantation (ILTS) and the Transplant Society (TTS). Technical responsibility for pancreas-kidney and pancreas transplantation of Hospital do Rocio (Campo Largo - PR) and liver transplantation of Hospital São José (Jaraguá do Sul - SC).

Arlene Terezinha Garcia Cagol Badoch is a physician graduated from Federal University of Santa Catarina,Brazil. She holds a title of Specialist in Pediatrics (RQE 7933) and specialization in Hebiatry from the Pontifical Catholic University of Paraná, Brazil. She is a former coordinator of the Paraná state transplantation system and the Brazilian national transplantation system.