Organ transplant is life saving for patients with end stage organ failure. For a successful
transplant we need an ethical system that assures finding donors and organs on a national
or international level. The purpose of this work is to research how organ exchange works,
what are its issues and which organizations exist. This paper foremost uses descriptive
method that is based on analysis of sources and data. In addition, statistical analysis was
also used. Considering all sources and data, research had shown that the possibility for a
successful match between a donor and recipient is higher with cross border organ
exchange, especially in a case of a smaller country. An example of such organization is
Eurotransplant which combines elements of transparency, objectivity, equality and
solidarity. Its system lowers the possibility that a scarce donor organ is not being used for
transplantation. Organ shortage is the reason behind the development of some unethical
practices such as organ or human trafficking and transplant tourism. This work shows that
a suitable legislation and implementation of a good system can limit these practices but
cannot totally eradicate them. This paper is meant for individuals who are interested in the
field of health management. The goal of this paper is to show the issues of organ exchange
in smaller countries, to show the importance of cooperation between nations in the field
of organ exchange and also in the formation of guidelines and legislation.
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