Argentine Integral Protection System for Transplanted Persons and on the Wait List: First Specific Legislation in Latin America

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Abstract

Introduction

Argentina sanctions in December 2013 the National Law 26.928 "SYSTEM OF INTEGRAL PROTECTION FOR PERSONS TRANSPLANTED AND IN LIST OF WAITING", regulated by Decree N ° 2266 of November 2015. This law was promoted by the Patient Advisory Commission (CAP) of the National Institute Central Single Coordinator of Ablation and Implantation (INCUCAI), whose purpose is the integral protection of Transplanted people (Tx) or enrolled in waiting list (WL) for transplant in the National System of Procurement and Transplantation of the Argentine Republic (SINTRA), requirement to access the credential that is issued by the jurisdictional agency of the beneficiary's address, in our case Ente Coordinador de Ablacion e Implante Córdoba (ECODAIC).

Introduction

The objective of this paper is to systematize the local experience of the application of this national law in the province of Córdoba through ECODAIC, and likewise to characterize the beneficiary population of this law.

Material and Method

Descriptive, retrospective study, made from the registration of the delivery of the first 1000 credentials from December 2015 to September 2017. People in WL or TX with residence in the Province of Córdoba; Inclusion criteria: having applied to ECODAIC for the credential being registered in SINTRA.

Results and Discussion

The total population of the Province of Córdoba in WL and TX in September 2017 is 5205 people, 950 in WL (18.32%) and 4251 TX (81.67%). The sample of 1000 beneficiaries has the following characteristics: 56 credentials in 2015; 568 in 2016 and 376 in 2017; 44.8% are women and 55.2% are men; 44.2% residents of the provincial capital and 55.8% of the Interior. 41% of the credentials correspond to WL (410 people) and 59% TX (590). The beneficiaries in WL represent 42.97% of the total number of people in WL, while the TX only 13.87% of the total TX of the Province who have managed their credentials.

Results and Discussion

The largest number of beneficiaries of credentials are people in WL and the Interior which tells us that this credential allows free transportation in medium and long distance. Based on the data we were obtaining promotional actions were carried out that increased the emission.

Conclusion

The benefits promoted by the law are acquired rights that result in a social protection system of inclusion. It is not the object of this investigation to describe the scope of these.The patient in WL is more linked to the health system and access to information. As it is a national law without provincial adherence, it hinders the application of law and limits access to benefits at the local level.The law comes to give a legal entity unique to the Tx people and in WL in Argentina and Latin America; differentiating it from the historical condition of disabled person.

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