Challenges associated with organ donation and transplantation process
| SN. | Hindering factors | Implications for organ supply | Influence on stages of organ transplant supply chain | Sources |
|---|---|---|---|---|
| C1 | Lack of functional organ procurement network | Ineffective facilitation of organ sourcing and allocation | Sourcing and retrieval | Beyar (2011), Wood et al. (2022), Stewart (2021), Beard et al. (2006), Ross and Thistlethwaite (2008), Kaze et al. (2018) |
| C2 | Organ transplant regulations are weak or absent | Concerns with organ procurement, supply and transplantation governance | Sourcing, retrieval, delivery and transplantation | Ulasi et al. (2020), Hackmann et al. (2022), Weimer (2010), Shroff (2009) |
| C3 | Inadequate information system infrastructure | Transparency and management of the organ supply chain are hampered by a lack of available data | Sourcing, retrieval, delivery and transplantation | Chavez et al. (2020), Olu et al. (2019), Kritchanchai et al. (2018), Massie et al. (2014), Howard and Byrne, 2007; Molnar et al. (2015) |
| C4 | Black market for donated organs | Alternative donor supply networks that are in direct competition with regulated transplantation programmes | Sourcing | Parada-Contzen and Vásquez-Lavín (2019), Bowden (2013), Yoon, (2018), Woan (2007), Morgan et al. (2005), Taylor (2006) |
| C5 | Lack of effective cold-chain system | The safety/quality of organs will be at risk if cold-chain systems are not effective | Retrieval and delivery | Sharma et al. (2021), Fisher et al. (2020), Net et al. (2003), Vreugdenhil et al. (1991), Koizumi et al. (2015) |
| C6 | Lack of effective organ logistics/transport scheme | Logistical problems can jeopardise organ transport and transplant equity | Delivery | Pullen (2019), Michel et al. (2015), Stewart et al. (2016), Wey et al. (2018) |
| C7 | Lack of skilled labour | Inadequate skills in organ product handling procedures and inventory management techniques | Sourcing, retrieval, delivery and transplantation | Kartoglu and Milstien (2014), Spearman and McCulloch (2014), Naicker et al. (2010) |
| C8 | Organ donor recruitment challenges | An insufficient supply of donors can be attributed to the difficulty of finding new ones | Sourcing | Williamson et al. (2019), Feeley and Kruegler (2015), Sharif (2012), Noyes et al. (2019) |
| C9 | Difficulties with matching donors and recipients | The capacity of logistics to deliver organs to the appropriate individual at the right time can be hindered by challenges in pairing donors and recipients | Sourcing | Lewis et al. (2021), Lee et al. (2019), Orens et al. (2006), Matching Donors (2023), (2020) |
| C10 | Organ transplant tourism | The high demand for organ transplants would seem to fuel “transplant tourism” | Retrieval, delivery and transplantation | Hindi et al. (2020), Shimazono (2007), Smith (2012), Budiani‐Saberi and Delmonico (2008) |
| C11 | Getting the consent of a potential donor | Affect the timely distribution and delivery of organs | Sourcing | Ahmad et al. (2019), Salim et al. (2007), Prabhu (2019), Shaw (2018) |
| Hindering factors | Implications for organ supply | Influence on stages of organ transplant supply chain | Sources | |
|---|---|---|---|---|
| Lack of functional organ procurement network | Ineffective facilitation of organ sourcing and allocation | Sourcing and retrieval | ||
| Organ transplant regulations are weak or absent | Concerns with organ procurement, supply and transplantation governance | Sourcing, retrieval, delivery and transplantation | ||
| Inadequate information system infrastructure | Transparency and management of the organ supply chain are hampered by a lack of available data | Sourcing, retrieval, delivery and transplantation | ||
| Black market for donated organs | Alternative donor supply networks that are in direct competition with regulated transplantation programmes | Sourcing | ||
| Lack of effective cold-chain system | The safety/quality of organs will be at risk if cold-chain systems are not effective | Retrieval and delivery | ||
| Lack of effective organ logistics/transport scheme | Logistical problems can jeopardise organ transport and transplant equity | Delivery | ||
| Lack of skilled labour | Inadequate skills in organ product handling procedures and inventory management techniques | Sourcing, retrieval, delivery and transplantation | ||
| Organ donor recruitment challenges | An insufficient supply of donors can be attributed to the difficulty of finding new ones | Sourcing | ||
| Difficulties with matching donors and recipients | The capacity of logistics to deliver organs to the appropriate individual at the right time can be hindered by challenges in pairing donors and recipients | Sourcing | ||
| Organ transplant tourism | The high demand for organ transplants would seem to fuel “transplant tourism” | Retrieval, delivery and transplantation | ||
| Getting the consent of a potential donor | Affect the timely distribution and delivery of organs | Sourcing |
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