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Public organ transplant waiting list system to be implemented

After 19 years of implementing the Law on Human Tissue and Organ Donation, Vietnam has performed more than 9,500 organ transplants. However, the donation rate from brain-dead people is very low, more than 90% of transplanted organs still come from living donors, causing many ethical and legal challenges.

Báo Thanh niênBáo Thanh niên06/07/2025

According to Professor, Dr. Tran Van Thuan, Deputy Minister of Health , the Ministry is seeking comments on the draft law on Donation and Transplantation of Human Tissues and Organs.

Through the actual reception and coordination, Associate Professor, Dr. Dong Van He, Director of the National Organ Transplant Coordination Center, Deputy Director of Viet Duc Friendship Hospital, said that the current law has too many problems and cannot keep up with the actual organ transplant capacity of Vietnam. Currently, people can register to donate organs very simply through a digital platform, so up to 5,000 people register each month. However, the actual regulations on registration procedures are too complicated, unfriendly and difficult to access for the majority of people.

Sẽ triển khai hệ thống danh sách chờ ghép tạng công khai - Ảnh 1.

The Ministry of Health proposes a suitable financial mechanism to ensure fairness and transparency in organ donation activities.

PHOTO: THUY ANH

Associate Professor, Dr. Dong Van He also said that the law does not allow children to donate organs, which is a major obstacle to performing organ transplants for children. Currently, children with organ transplant indications can only receive donated organs from adults, which is very difficult to match. In addition, mobilizing organ donation, collecting, transporting, and preserving donated organs requires a lot of time and effort, but there is no financial support mechanism. "Organ preservation alone costs 20 million VND, but there is no source of payment according to regulations," Mr. He shared.

According to Mr. He, in countries, organ donation and transplantation are paid for from three sources: health insurance, partial contributions from organ recipients, and the state budget. Payment for organ transplantation helps reduce actual costs from the health insurance fund, while improving the quality of life for patients. For example, for kidney transplant patients, after the transplant, health insurance covers anti-rejection drugs (less than 100 million VND/year for patients with kidney failure after a kidney transplant). This expense is very cheap (50% reduction) compared to payment for patients with kidney failure requiring dialysis (about 200 million VND/patient/year). In 2024, the whole country will have nearly 900 patients receiving kidney transplants. Therefore, each year, health insurance can have a surplus of tens of billions of VND if it pays for kidney transplant patients, compared to paying for dialysis; health insurance benefits in terms of costs if there is an increase in critical ill patients receiving organ transplants. In particular, after organ transplantation, patients improve their quality of life, regain their ability to work, and help themselves, their families, and the community.

Emphasizing the need for transparency in coordinating organ donation and transplantation, Mr. He said that the National Organ Transplant Coordination Center will apply information technology to deploy a public organ transplant waiting list system, supervised by the Ministry of Health, and accessible to all hospitals. Currently, there are 31 hospitals qualified for organ transplantation, each with members of the council evaluating and supervising the coordination and indication of transplantation.

Source: https://thanhnien.vn/se-trien-khai-he-thong-danh-sach-cho-ghep-tang-cong-khai-185250705232841481.htm


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