Public policy analysis for donation of human organs for transplantation: A way to increase the constitutional right to health in Brazil

Abstract

Objective: To analyze a time series of human organ transplants in several States and what public policies have been adopted to increase and/or maintain the number of transplants. Methodology: A set of data provided by the Global Observatory on Donation and Transplantation was statistically treated and, after this analysis, the information was approached through a bibliographic review. It is a descriptive and applied research. Results: In the twelve States that formally generate the best transplantation rates in absolute numbers, some policies are important such as the adoption of the presumed donation system, the qualification and training of the teams and also the donation after cardio-circulatory death. Contributions: Effective organ donors for transplantation fall far short of potential donors. This shortage stimulates the ceaseless efforts to supply the demand, being necessary to promote public policies to attend the greatest possible number of patients. Clearly, there is a strong need for innovative approaches to the problem; substantial challenges remain for these Brazilians to have their constitutional right to health guaranteed.