SURVEY ON LEADERSHIP, MANAGEMENT, QUALITY AND INNOVATION IN ORGAN PROCUREMENT FOR THE SELF-SUFFICIENCY IN ORGAN DONATION OF THE ONE BELT & ONE ROAD AREA

Introduction: “One Belt & One Road Initiative” is a development strategy adopted by the Chinese government involving countries and international organizations from all over the World for economic and commercial development. During the One Belt & One Road 1st International Workshop on Leadership & Management, Quality and Innovation in Organ Procurement was held in Kunming (China) in December 2019, 81 participants from 33 countries worked together towards the common objective of establishing essential recommendations on 4 strategic chapters leadership, management, quality and innovation in organ donation necessary to achieve self-sufficiency in their organ donation programs. The group’s objective was to identify issues related to and measures towards the self-sufficiency in organ donation programs. Methodology: Previous to the meeting, an online survey was designed and distributed via an online survey among participants of the workshop to gather the necessary information about the 4 strategic chapters. The final survey with 46 questions, included 2 delegate’s professional information questions, 25 questions on leadership and management, 9 questions in quality, 6 questions on innovation and 4 questions in donation activity and healthcare systems. Results: The survey was sent to 58 responders from 44 countries. A total of 42 responses were received from 34 countries. Respondents were: 31.16% Key Donation Persons (national 14.5%, regional 7.14% and hospital 9.52%); 21.4% members of a donation/transplantation surgical team; 16.67% member of the transplant medical team; 4.76% Ministry of Health employees. LEADERSHIP AND MANAGEMENT 38 responses have a legal framework for donation & transplantation (D&T) (92.6% of total responses). 28 responses have an Opting in system (68.29%). 32 responses reported having a have a National Donation & Transplantation (D&T) Office (76.19%) and 31 of them are funded by the Minister of Health (96.8%). In 27 responses, the KDP role is defined (65.85%). From these, 22 of them are officially appointed (81.48%), being the Hospital Director responsible in 17 of the appointments (62.96%). QUALITY 24 responses have Organ Donation process guidelines/procedures/protocols at national level (68.5%), 17 have protocols at hospital level (48.57%). 22 responses declared having an authorization or accreditation system for the donor hospitals in their country or region (62.86%). INNOVATION 25 responded affirmed NOT to use Normothermic regional perfusion in Donation after Cardiac Death (DCD) (73.53%), while 18 NOT use any ex-vivo perfusion machine (52.94%). 7 respondents did not have a Tissue Bank at national level (20.59%), and among them. Conclusion: The survey response rate was high (81%) and the respondent’s professional profile was heterogeneous. The survey results were used to elaborate in a second phase –already done - the “Recommendations for belt & road region on leadership, management, quality and innovation to achieve self-sufficiency in organ donation”.