Knowledge regarding organ donation: Identifying and overcoming barriers to organ donation

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Abstract

Four-hundred and fifty-five undergraduate students, 26 MBA students, and 465 people from the surrounding community responded to 21 true/false questions regarding factual knowledge about organ donation. The mean number of correct answers was 74.6%. The correct response rate, however, varied widely over questions. Four questions with very large error rates suggest possible ‘barriers to donation’. Specifically, these questions concerned religious support for organ donation, the concept of brain death, the normally rigid separation of physician teams who are primarily responsible for the welfare of the donor and donee, and a mistaken belief that to be valid an organ donor card must be filed with the U.S. Department of Health and Human Services. Knowledge of organ donation facts was found to be related to whether subjects carried or requested an organ donor card, their attitude towards organ donation and their willingness to donate their own organs or the organs of a deceased loved one. These findings suggest strategies for raising public support for organ donation.

References (30)

  • A.D. DeChesser

    Organ donation: the supply/demand discrepancy

    Heart & Lung

    (Nov. 1986)
  • J.M. Darby et al.

    Approach to management of the heartbeating ‘brain dead’ organ donor

    J. Am. med. Ass.

    (21 April, 1989)
  • C.E. Koop

    Increasing the supply of solid organs for transplantation

    Publ. Hlth Rep.

    (1983)
  • R.S. Lazarus

    Thoughts on the relation between emotion and cognition

    Am. Psychol.

    (1982)
  • R.E. Petty et al.

    Central and peripheral routes to advertising effectiveness: the moderating role of involvement

    J. Consumer Res.

    (Sept. 1983)
  • R.B. Zajonc

    Feeling and thinking: preferences need no inferences

    Am. Psychol.

    (Febr. 1978)
  • R.L. Horton

    Buyer Behavior: A Decision-Making Approach

    (1984)
  • J.M. Prottas

    Encouraging altruism: public attitudes and the marketing of organ donation

    Milbank Meml Fund Q.

    (1983)
  • D.L. Manninen et al.

    Public attitudes and behavior regarding organ donation

    J. Am. med. Ass.

    (7 June, 1985)
  • J.M. Prottas et al.

    Health professionals and hospital administrators in organ procurement: attitudes, reservation, and their resolutions

    Am. J. publ. Hlth

    (June 1988)
  • C.O. Callender

    Legal and ethical issues surrounding transplantation: the transplant teams perspective

  • M. Rokeach

    The Nature of Human Values

    (1973)
  • C. Goodmonson et al.

    The relationship of commitment free behavior and commitment behavior: a study of attitude toward organ transplantation

    J. Soc. Issues

    (1971)
  • Z. Rubin et al.

    Belief in a just world and reactions to another's lot: a study of participants in the national draft lottery

    J. Soc. Issues

    (1973)
  • R. Lonetto et al.

    The nature of death anxiety

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