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Historical Background
The “organisational model for transplantation in Catalonia” was initially defined in 1982, when the Catalan Ministry of Health and Social Security created the Chronic Renal Insufficiency Care Programme (PAIR) to provide chronic renal patients with comprehensive care.
In accordance with the provisions of the 1979 Transplant Act, in 1984 the requirements for organ procurement and transplantation centres were drafted. One of these requirements stipulated that each centre had to have a person responsible for procuring organs: the hospital transplantation coordinator.
In 1984 the Catalan Ministry of Health and Social Security set up the Organ Transplantation Programme because the increased demand for this type of treatment and the implementation of other programmes (liver and heart transplants) made it clear that an extra-hospital structure was required to organise, plan and coordinate transplantation-related activities and provide logistical support to procurement and transplantation teams.
In 1987, the Transplant Coordination Centre was created. The centre operates 24 hours a day, 365 days a year and facilitates organ sharing throughout Spain and between Spanish centres and those in the rest of Europe.
Given the increased transplantation activity in the rest of Spain, the Spanish Ministry of Health and Consumer Affairs created the National Transplant Organisation (ONT) in 1989. This organisation was set up to coordinate organ donations and transplants in all of Spain’s autonomous communities except for Catalonia, where organisations of this kind were already in place.
The need to unify and provide legal support for all the activities carried out in this field by the Catalan health administration led to the creation of the Catalan Transplant Organisation (OCATT) in 1994.
There are currently two organisations that coordinate organ sharing in Spain: OCATT, which is responsible for coordination in Catalonia and coordination between the rest of Spain and foreign organisations, and the ONT, which coordinates organ sharing in the other autonomous communities and between Catalonia and the rest of Spain. |
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