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A Conceptual Framework for Evaluating National Organ Donation and Transplantation Programs

Conceptual frameworks are valuable resources that can be used to guide the planning, evaluation, and development of healthcare services. However, there are currently no comprehensive frameworks focused on organ donation and transplantation that identify the critical factors underlying a successful n...

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Autores principales: Johnston-Webber, Charlotte, Mah, Jasmine, Streit, Simon, Prionas, Apostolos, Wharton, George, Mossialos, Elias, Papalois, Vassilios
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10273098/
https://www.ncbi.nlm.nih.gov/pubmed/37334013
http://dx.doi.org/10.3389/ti.2023.11006
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author Johnston-Webber, Charlotte
Mah, Jasmine
Streit, Simon
Prionas, Apostolos
Wharton, George
Mossialos, Elias
Papalois, Vassilios
author_facet Johnston-Webber, Charlotte
Mah, Jasmine
Streit, Simon
Prionas, Apostolos
Wharton, George
Mossialos, Elias
Papalois, Vassilios
author_sort Johnston-Webber, Charlotte
collection PubMed
description Conceptual frameworks are valuable resources that can be used to guide the planning, evaluation, and development of healthcare services. However, there are currently no comprehensive frameworks focused on organ donation and transplantation that identify the critical factors underlying a successful national program. To address this knowledge gap, we developed a conceptual framework that takes into account all major domains of influence, including political and societal aspects as well as clinical implementation. The framework was initially constructed based on a targeted review of the relevant medical literature. Feedback provided by a panel of international experts was incorporated into the framework via an iterative process. The final framework features 16 essential domains that are critical for initiating and maintaining a successful program and improving the health of patients with organ failure. Of particular note, these domains are subject to three overarching health system principles: responsiveness, efficiency, and equity. This framework represents a first attempt to develop a whole-system view of the various factors that contribute to the success of a national program. These findings provide a useful tool that can be adapted to any jurisdiction and used to plan, evaluate, and improve organ donation and transplantation programs.
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spelling pubmed-102730982023-06-17 A Conceptual Framework for Evaluating National Organ Donation and Transplantation Programs Johnston-Webber, Charlotte Mah, Jasmine Streit, Simon Prionas, Apostolos Wharton, George Mossialos, Elias Papalois, Vassilios Transpl Int Health Archive Conceptual frameworks are valuable resources that can be used to guide the planning, evaluation, and development of healthcare services. However, there are currently no comprehensive frameworks focused on organ donation and transplantation that identify the critical factors underlying a successful national program. To address this knowledge gap, we developed a conceptual framework that takes into account all major domains of influence, including political and societal aspects as well as clinical implementation. The framework was initially constructed based on a targeted review of the relevant medical literature. Feedback provided by a panel of international experts was incorporated into the framework via an iterative process. The final framework features 16 essential domains that are critical for initiating and maintaining a successful program and improving the health of patients with organ failure. Of particular note, these domains are subject to three overarching health system principles: responsiveness, efficiency, and equity. This framework represents a first attempt to develop a whole-system view of the various factors that contribute to the success of a national program. These findings provide a useful tool that can be adapted to any jurisdiction and used to plan, evaluate, and improve organ donation and transplantation programs. Frontiers Media S.A. 2023-05-25 /pmc/articles/PMC10273098/ /pubmed/37334013 http://dx.doi.org/10.3389/ti.2023.11006 Text en Copyright © 2023 Johnston-Webber, Mah, Streit, Prionas, Wharton, Mossialos and Papalois. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Health Archive
Johnston-Webber, Charlotte
Mah, Jasmine
Streit, Simon
Prionas, Apostolos
Wharton, George
Mossialos, Elias
Papalois, Vassilios
A Conceptual Framework for Evaluating National Organ Donation and Transplantation Programs
title A Conceptual Framework for Evaluating National Organ Donation and Transplantation Programs
title_full A Conceptual Framework for Evaluating National Organ Donation and Transplantation Programs
title_fullStr A Conceptual Framework for Evaluating National Organ Donation and Transplantation Programs
title_full_unstemmed A Conceptual Framework for Evaluating National Organ Donation and Transplantation Programs
title_short A Conceptual Framework for Evaluating National Organ Donation and Transplantation Programs
title_sort conceptual framework for evaluating national organ donation and transplantation programs
topic Health Archive
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10273098/
https://www.ncbi.nlm.nih.gov/pubmed/37334013
http://dx.doi.org/10.3389/ti.2023.11006
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