Regionalisierung des Organallokationssystems

Since its enactment in 1997, the German Transplantation Act has been subject to legislative measures aimed at increasing organ availability, which have not yielded the expected success. In recent years, the political discourse has focused on introducing an opt-out solution, while critically ill patients remain on waiting lists for donor organs. The study analyzes for the first time a regionalization of the allocation system and demonstrates that under specific conditions, such a system can be integrated and lead to an increase in organ availability. A partially decentralized mode is proposed, which can be integrated into existing practices without fundamental system changes.