Increasing Heart Donation: Results of a Multi-Ethnic Population-Based Survey from Turkey

Abstract

Purpose Organ donation (OD) rates remain low worldwide, particularly in the eastern world. Attempts to increase OD rates have ranged from public awareness campaigns to financial incentives. We sought to examine the attitudes and potential ways to increase heart donation in this multi-ethnic region. Methods and Materials A web-based survey was administered to 3639 healthcare professionals (HP) and members of the public aged 18-64 throughout Turkey. 32 questions were asked addressing attitudes on OD,including if respondents would donate, strategies to increase OD and response to the use of incentives. Of those invited to respond, 34.4% completed the survey. Results Amongst respondents, 22% were HP,52% were women, 45% were between 25-35 years, and 69% were university graduates. 94% of participants supported organ donation and 93% would carry out the wishes of a family member with an organ donor card. However, only 37% were willing to donate, and 64% would consent for donation of a family member without a card. 77% believed family consultation should not be required if the donor had a signed donor card. Across all respondents 10% were against and 18% had no information on heart donation, and 11% believed OD is not permissible by their religion. 22% believed that people could recover from brain death. Presumed consent was acceptable to 63%, with 78% identifying it as a way to increase donation. Improved public education was identified by 53% as the single best way to increase donation. 60% believe religious leaders should be involved. 50% supported indirect compensation (donor hospital expenses forgiveness, funeral expenses, etc.); 52% supported direct incentives such as life insurance provisions. Conclusions Despite the high number of highly educated respondents, this survey still indicates a profound need for educational campaigns to increase the awareness of the public as well as HP,particularly with the support and involvement of religious and cultural leaders,in order to dramatically increase OD rates in Eurasia.