%0 Journal Article %A Long Qian %A Miah T Li %A Kristen L King %A Syed Ali Husain %A David J Cohen %A Sumit Mohan %T Healthcare students support opt-out organ donation for practical and moral reasons %D 2022 %R 10.1136/medethics-2020-107053 %J Journal of Medical Ethics %P 522-529 %V 48 %N 8 %X Background and purpose Changes to deceased organ donation policy in the USA, including opt-out and priority systems, have been proposed to increase registration and donation rates. To study attitudes towards such policies, we surveyed healthcare students to assess support for opt-out and priority systems and reasons for support or opposition.Methods We investigated associations with supporting opt-out, including organ donation knowledge, altruism, trust in the healthcare system, prioritising autonomy and participants’ evaluation of the moral severity of incorrectly assuming consent in opt-in systems (‘opt-in error’) or opt-out systems (‘opt-out error’), by conducting an online survey among healthcare students at a large academic institution.Results Of 523 respondents, 86% supported opt-out, including 53% who strongly supported the policy. The most popular reason for supporting opt-out was the potential for increased donation rates, followed by convenience for those not registered but willing to donate. The most popular reason for opposing opt-out was the belief that presuming consent is morally wrong. Those strongly supporting opt-out viewed the opt-in error as more morally unacceptable, and had higher knowledge and altruism scores. Those opposing opt-out viewed the opt-out error as more unacceptable, and had higher autonomy scores. 48% of respondents supported priority within opt-in systems; 31% supported priority in opt-out.Conclusions There is strong support for opt-out organ donation among healthcare students, influenced by both practical and moral considerations.Data are available upon request. %U https://jme.bmj.com/content/medethics/48/8/522.full.pdf