Skip to main content

Pathways in Transplantation Medicine: Challenges in Overcoming Interfaces Between Cross-Sectoral Care Structures

  • Chapter
  • First Online:

Abstract

Organ transplantation is a complex intervention requiring collaboration across different healthcare sectors and institutions. The multidisciplinary approach not only includes trans-institutional and cross-sectoral care structures, but also integrates diverse specialist disciplines. However, problems at the interface between the different healthcare sectors can easily result in interruptions in treatment and a breakdown in information flows. Consequently, the goal of delivering continuous patient-centered care is hard to put into practice. In order to achieve better interdisciplinary cooperation in transplantation medicine, it is imperative to have a healthcare system with the integrated process chains and cross-sectoral and cross-professional structures needed to ensure the continuous flow of information between multidisciplinary teams.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   139.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Notes

  1. 1.

    This was a meta-analysis with a random effects model, which included nine U.S. articles and five OECD articles (van der Hilst et al. 2009).

References

  • Amelung, V. E. (2013). Healthcare management. Managed care organisations and instruments. Heidelberg u.a.: Springer.

    Google Scholar 

  • Amelung, V. E., & Wolf, S. (2012). Integrierte Versorgung—Vom Hoffnungsträger zum Ladenhüter der deutschen Gesundheitspolitik? G&S Gesundheits- und Sozialpolitik, 1, 13–19.

    Google Scholar 

  • BT-Drs. 18/3566. (2014). Unterrichtung durch die Bundesregierung. Bericht der Bundesregierung über den Fortgang der eingeleiteten Reformprozesse, mögliche Missstände und sonstige aktuelle Entwicklungen in der Transplantationsmedizin. Drucksache 18/3566 ed.: Deutscher Bundestag 18. Wahlperiode.

    Google Scholar 

  • Bundesärztekammer. (2000). Empfehlung zur Lebendorganspende. Deutsches Ärzteblatt, 97(48), A3287–A3288.

    Google Scholar 

  • Bundesärztekammer. (2015). Richtlinien zur Organtransplantation gem. § 16TPG. Richtlinie gemäß § 16 Abs. 1 S. 1 Nrn. 2 u. 5 TPG für die Wartelistenführung und Organvermittlung zur Lebertransplantation.

    Google Scholar 

  • Davis, C. L. (2011). How to increase living donation. Transplant International, 24(4), 344–349.

    Article  Google Scholar 

  • Den Hertog, F., Groen, M., & Weehuizen, R. (2005). Mapping health care innovation: Tracing walls and ceilings. Maastrich: Maastricht Economic Research Institute on Innovation and Technology (MERIT), International Institute of Infonomics.

    Google Scholar 

  • DSO. (2014). Organspende und Transplantation in Deutschland. Jahresbericht. Accessed February 22, 2016, from http://www.dso.de/uploads/tx_dsodl/JB_2014_Web_1.pdf

  • DSO. (2015). Niere—Warteliste und Vermittlung. Accessed March 3, 2016, from http://www.dso.de/organspende-und-transplantation/warteliste-und-vermittlung/niere.html

  • Gold, S. M., Schulz, K., & Koch, U. (2001). Der Organspendeprozess: Ursachen des Organmangels und mögliche Lösungsansansätze: Inhaltliche und methodenkritische Analyse vorliegender Studien. BZgA: Köln.

    Google Scholar 

  • Harries, L., Tangermann, U., & Amelung, V. E. (2015). Arztentlastende Konzepte in schwer zu versorgenden Regionen in Deutschland: Ein Vergleich mit England und den Niederlanden. G&S Gesundheits- und Sozialpolitik, 69(3–4), 62–69.

    Google Scholar 

  • IFB-Tx. (2015). Patienteninformation—Lebertransplantation. Accessed March 13, 2016, from http://www.ifb-tx.de/patienteninformation/lebertransplantation/

  • Jung, G. E., Encke, J., Schmidt, J., & Rahmel, A. (2008). Model for end-stage liver disease. New basis of allocation for liver transplantations. Chirurg, 79(2), 157–163.

    Article  Google Scholar 

  • Kumar, V. (2015). Current status on the evaluation and management of the highly sensitized kidney transplant recipient. Current Opinion in Nephrology and Hypertension, 24(6), 570–575.

    Article  Google Scholar 

  • Living Kidney Donor Follow-Up Conference Writing Group, Leichtman, A., Abecassis, M., Barr, M., Charlton, M., Cohen, D., et al. (2011). Living kidney donor follow-up: State-of-the-art and future directions, conference summary and recommendations. American Journal of Transplantation, 11(12), 2561–2568.

    Article  Google Scholar 

  • Lock, J., Reinhold, T., Bloch, A., Malinowski, M., Schmidt, S. C., Neuhaus, P., et al. (2010). The cost of graft failure and other severe complications after liver transplantation—Experience from a German Transplant Center. Annals of Transplantation, 15(3), 11–18.

    Google Scholar 

  • Mayr, M. (2005). Management after transplantation. Ther Umsch, 62(7), 487–501.

    Article  Google Scholar 

  • NHS Blood and Transplant. Organ donation and transplantation, data. Accessed March 30, 2016, from http://www.odt.nhs.uk/uk-transplant-registry/data/

  • NHS Choices. (2014). Organ donation—Living donation. Accessed 16 March 2016, from http://www.nhs.uk/Conditions/Organ-donation/Pages/Recommendations.aspx

  • Niedermeyer, J., Bewig, B., Bickhardt, T., Ewert, R., Fischer, P., Hamm, M., et al. (2001). Lungen-und Herz-Lungen-Transplantation. Pneumologie, 55(08), 396–400.

    Article  Google Scholar 

  • Pondrom, S. (2013). Trust is everything. American Journal of Transplantation, 13(5), 1115–1116.

    Article  Google Scholar 

  • Reinertsen, J. L., Bisognano, M., & Pugh, M. D. (2008). Seven leadership leverage points for organization—Level improvement in health care. IHI innovation series white paper (2nd ed.). Cambridge, MA: Institute for Healthcare Improvement.

    Google Scholar 

  • Samuel U. (2015). Annual report 2014. Eurotransplant International Foundation.

    Google Scholar 

  • Schlitt, H. J., Loss, M., Scherer, M. N., Becker, T., Jauch, K. W., Nashan, B., et al. (2011). Current developments in liver transplantation in Germany: MELD-based organ allocation and incentives for transplant centres. Zeitschrift fur Gastroenterologie, 49(1), 30–38.

    Article  Google Scholar 

  • Schmitz, C., & Berchthold, P. (2009). Managing professionals—Führung im Krankenhaus. In V. E. Amelung, J. Sydow, & A. Windeler (Eds.), Vernetzung im Gesundheitswesen Wettbewerb und Kooperation (pp. 167–180). Stuttgart: W. Kohlhammer Druckerei GmbH + Co. KG.

    Google Scholar 

  • Schrem, H., Barg-Hock, H., Strassburg, C. P., Schwarz, A., & Klempnauer, J. (2009). Aftercare for patients with transplanted organs. Deutsches Ärzteblatt International, 106(9), 148–156.

    Google Scholar 

  • Schrem, H., & Kaltenborn, A. (2013). Germany: Avoid more organ transplant scandals. Nature, 498(7452), 37.

    Article  Google Scholar 

  • Sydow, J., Lerch, F., Huxham, C., & Hibbert, P. (2011). A silent cry for leadership: Organizing for leading (in) clusters. The Leadership Quarterly, 22(2), 328–343.

    Article  Google Scholar 

  • van der Hilst, C. S., Ijtsma, A. J., Slooff, M. J., & Tenvergert, E. M. (2009). Cost of liver transplantation: A systematic review and meta-analysis comparing the United States with other OECD countries. Medical Care Research and Review, 66(1), 3–22.

    Article  Google Scholar 

  • Veit, C., Bungard, D., Eichwald, D., Schillhorn, K., & Trümner, A. (2014). Fachgutachten zu einem nationalen Transplantationsregister. Sachstandsbericht zur Datenerfassung und Vorschläge für die Gestaltung eines Transplantationsregisters im Auftrag des Bundesministeriums für Gesundheit. Accessed 13 March 2016, from https://www.bundesgesundheitsministerium.de/fileadmin/dateien/Publikationen/Gesundheit/Bericht/BMG-TxReg-Gutachten_140808c.pdf

  • WHO. (2015). Global strategy on people-centred and integrated health services. Accessed February 25, 2016, from http://www.who.int/servicedeliverysafety/areas/people-centred-care/en/

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lena Harries .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Harries, L., Schrem, H., Krauth, C., Amelung, V. (2017). Pathways in Transplantation Medicine: Challenges in Overcoming Interfaces Between Cross-Sectoral Care Structures. In: Amelung, V., Stein, V., Goodwin, N., Balicer, R., Nolte, E., Suter, E. (eds) Handbook Integrated Care. Springer, Cham. https://doi.org/10.1007/978-3-319-56103-5_26

Download citation

Publish with us

Policies and ethics