The Ministry of health of Ukraine in connection with the 2018 pilot project for kidney transplantation, the implementation of which is provided from the state budget of 112 million UAH, triggers the creation of a registry of patients in need of treatment method of renal replacement therapy.
According to the draft resolution of the Cabinet of Ministers of Ukraine published on the website of the Ministry of health, the Agency before June 1 should develop a position on the register, and before October 1, to identify a registry administrator to bespecial its creation and operation.
The Agency will undertake the formation and maintenance of a list of patients who can be performed kidney transplantation from cadaveric donor and provide the data exchange between the registry and the unified state information system of the transplant, provided by the law “On transplantation of organs and other anatomical materials man .”
In the case of adoption of the decision, from 1 January 2019 kidney transplantation is the recipient’s basis, determined in accordance with the list of patients, which in turn is formed on the basis of registry data.
In addition, in accordance with the data of the registry is also a calculation of the need for medical devices and medicines required to treat patients using hemodialysis.
As noted in the explanatory Memorandum, the establishment of a register is a necessary activity for successful implementation of the pilot project.
“The use of this tool not only comprehensively solves all the above problems, but also allows to minimize the possibility of abuse in determining the order of carrying out of operative interventions associated with transplantation of kidney, as well as to guarantee compliance with the principle of accessibility of medical care”, – stated in the accompanying documents.
In addition to a reliable list of patients in need of transplantation, as well as the solution of a question of precedence of operations, the registry will provide an opportunity to monitor the quality and effectiveness of the treatment before surgery and also results of transplantation, and prophylactic immunosuppressive therapy.
As reported, the MoH has developed a draft procedure for the operation of the eHealth system, according to which the Manager and the owner of all registers in the health system, with the exception of registers of medical professionals and subjects of business activity is the national health service of Ukraine.
A pilot project for the development of the system of transplantation, provides for compensation from the budget of the costs to hospitals for such operations. The implementation of the pilot planned in five regions of Ukraine – Zaporozhye, Dnepr, Kharkiv, Lviv, Odessa and Kiev.