The Italian National Transplant Network: architecture and interactions

In the health field, the transplant system is definitely one of the most complex and articulated networks. The multiplicity of the professionals involved in the field; the many skills and specialties that interact in the system, create a dense network of interactions that represents an organizational model of excellence with few parallels in the patterns of federal health care. The architecture is designed on two main levels: the institutional level and the operational level.

At the institutional level there are the Ministry of Health, the State-Regions Conference, the Council and the Departments of Health that use the National Transplant Center as the governing body of the network. At the operational level there are the National Transplant Center, the Council, the coordinating centers, the transplant centers, the retrieval centres, the tissue and cell banks, Local Health Units and clinical care centers within the area.

The operational management of the activities takes place at various levels (local, regional and national), through the coordinating centers that form the backbone of the network and, in spite of the diversity that characterizes the reality in which they operate, they have in common the ability to conduct sensitive management processes and the common sense of being part of the network. There are roles and responsibilities more important than others, each one represents an essential part of the system, the functions of which are descended from the specific rules and / or guidance documents.