臓器提供数増加へのシステマティックな対応～スペインモデル視察から見えた課題～

抄録

【Objective】 Spain with 47.0 donors per million people (pmp.) per year is known as the eminent “transplant superpower” in the world. In Japan, the number of donors remains at 0.8 donors pmp. every year. We investigated the organ donation system of Spain to increase the donations of Japan.

【Design and Methods】 We interviewed the chief of staffs of a local hospital, a regional donation coordination office, and university hospital in Spain about education concerned with donation and their in-house organ-providing system from Apr. 9 to 11, 2018.

【Results】 As a result of an Organ Procurement Team managing all duties in-hospital in the beginning of “possible donor detection”, various burdens, e.g. on organ donation choice presentation and daily duties in each hospital, were eliminated. It became possible to transfer hospitals to aimed organ donation from the hospital in the surrounding area by burden eliminated, so the number of organ donation was increased dramatically. The university hospital established a regional alliance system centered on the hospital based on the incentive of abundant organs. It is an educational program known as the Transplant Procurement Management (TPM) training course, and has had a great influence on these organ-providing systems, indispensable to the process of organ donation as the common language in the organ procurement.

【Conclusion】 We think that it is an urgent challenge and response measure to establish and spread an educational program such as the TPM training course to increase the number of donors.