Because they constitute a therapy that remains, to this day, without equivalent, organ transplants arouse considerable expectations, which have only grown in recent years. In the early 2000s, a first ministerial plan (2000-2003) began to mobilize experts on the subject. After a long break of about ten years, it was followed by two other plans for the periods 2012-2016 then 2017-2021. But this did not prevent the decrease in the number of transplants, even more flagrant in 2020 under the effect of the health crisis (- 25% of transplants).
Breathing new life into the organ transplant industry
It is in this context that the Ministry of Solidarity and Health and the Biomedicine Agency have just unveiled the 4e ministerial action plan for the period 2022-2026. Objective: to increase the number of transplants by 2026, which will involve an increase in the number of kidney transplants performed from a living donor or the number of samples from donors in a state of brain death. To do this, the health authorities plan to:
- Professionalize the hospital coordination of sampling by using nurses in advanced practice and an increase in staff
- Intensify the practice of living donor samples and pediatric samples to counterbalance the downward trend in the number of subjects in a state of brain death
- Revise the methods of financing the removal and transplant activity to ensure the attractiveness of the sector
- • Develop performance indicators for the organization of organ procurement in authorized establishments, to promote virtuous establishments by awarding a label issued each year by the Biomedicine Agency
- Create a “sampling and transplant” referent in the regional health agencies (ARS) in order to develop regional plans, and identify areas of progress specific to each region.
The impetus of the Biomedicine Agency
At the national level, strategic management will be provided by the Biomedicine Agency. This has defined a roadmap (declined in our slideshow) which plans to increase the census and the removal of organs from deceased donors; improve access to the national waiting list; to develop kidney transplantation from living donors as well as the removal and transplantation of tissue; strengthen the evaluation of organ and tissue removal and transplantation activities; to improve the quality of practices and the safety of care; to optimize the financing of the activities of inventory, removal and transplantation of organs and tissues; to support training and research in the field of organ and tissue removal and transplantation and finally to mobilize the general public and professionals.
Source : Ministerial Plan for Organ and Tissue Removal and Transplantation 2022-2026March 2022
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