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The focus of this action is on facilitating collaboration on organ donation between national authorities in the EU as prescribed by art of Community Action Health Programme 2012. This focus will have a twofold approach: 1. supplying the MSs with a concrete theoretical support for organizing optimal allocation and use/transplantation of donated organs through multilateral and bilateral arrangements between the different transplant systems and analyzing all the existing barriers. This specific cooperation field is also foreseen in the Directive 2010/53/EU and in the Action Plan 2009-2015 set by the EU Commission {COM(2008) 818 final}.

Currently cross border exchange of organs for transplantation within Europe is limited, available donor organs are not always allocated and discarded because either there is no suitable recipient for a specific donor organ in the area of the procuring European organ exchange organization (EOEO) or there is no transplant program for this type of organs existing at all. This is confirmed by the analysis of donation and transplant figures in the EU countries (Newsletter Transplant – international figures on donation and transplantation – 2010) which shows that this source is currently not used in all cases, in spite of existing bilateral or multilateral agreements between member states and/or EOEO's. As a result the action is expected to stimulate the exchange of organs because this is an important way of increasing the number of organs available and meeting the needs of patients in all MS.

The second important aim, strictly linked to the first one, is the development of a tested methodology to inform general public about organ donation in general and international exchanges in particular, teaching experts to avoid wrong communication attitudes.
The final expected end outcome of the action is the increasing of bilateral agreements between MS and a better approach to communication issues in this field.

Specific objectives:

1, Reduction of logistical and organizational issues arising in cross border organ exchanges: a better knowledge of existing logistical and organizational barriers would allow MS willing to develop such activity to implement measures to overcome such hindrance. 

2, Identification of financial pathways for coverage of cross border organ exchanges in different EU countries and patient mobility for organ transplantion: during COORENOR, it has been clear that not all EOEOs are aware of the financial mechanisms regulating cross border transplantation in their countries versus EU. A clear identification of existing pathways will allow transplant organizations to tackle this issue at institutional level and provide for solutions.

3, Development of common donor forms (organ specific) to be used for international cross-border exchanges: create a list of common agreed definitions and selected items that are necessary for donor evaluation will facilitate the collection and transmission of all the essential information necessary for the organ acceptance in other MS, hence speeding-up exchanges by avoiding the loss of time consequent to the request of complementary tests. 

4, Increase in number of bilateral/multilateral agreements for cross border organ exchanges: providing a model for agreements will assist the MS in concluding bilateral/multilateral agreements and could also facilitate patient mobility under well defined terms. The overall value would include providing better access to care for patients. 

5, Increase in number of exchanged organs: use of IT portal is expected to bring about increase in exchange organs over a short term, since this contributes to speed up communication and provides agreed tools to overcome existing barriers as far as already available organs are concerned. In the long run, the action will contribute to the increase of organs retrieved per donor.

6, Optimization of public awareness initiatives towards organ donation and cross border exchanges: The manual on how to communicate efficiently about organ donation and cross border exchange and the adoption of the methodology on how to measure the effectiveness of the campaigns will help in optimizing initiatives to increase public awareness. In particular, communication with specialized media is expected to improve.

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