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Practices Around Communication About Organ Donation in Hungary.

S Mihály¹, A Smudla², J Kovács³

¹Organ Coordination Office, Hungarian National Blood Transfusion Service, Budapest, Hungary.

Transplantation Proceedings

|October 16, 2016

Summary

Careful family communication strategies, including timing and duration, can significantly reduce organ donation refusals. Educating relatives and involving adequate staff are key to improving consent rates.

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Area of Science:

Medical Ethics
Transplantation Medicine
Public Health

Background:

Family refusal of consent is a major barrier to organ donation in presumed-consent countries.
Understanding factors influencing family decisions is crucial for improving donation rates.

Purpose of the Study:

To survey family approach features in organ donation discussions.
To identify factors significantly impacting family refusals of consent.

Main Methods:

A 46-item validated questionnaire collected data from 188 cases via telephone interviews.
Investigated donor demographics, communication details (timing, duration, type), staff qualifications, and relative characteristics (education, religion).

Main Results:

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Last Updated: Mar 13, 2026

Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs

Post-Myocardial Infarction Heart Failure in Closed-chest Coronary Occlusion/Reperfusion Model in Göttingen Minipigs and Landrace Pigs

Published on: April 17, 2021

Timing of discussion significantly impacted objection rates (p=0.044).

Longer communication duration was associated with increased refusal (p=0.021).

Relatives' education, number of staff, and family size influenced refusal occurrence.

Conclusions:

Organized and supportive communication by intensive care unit staff can decrease family refusals.
Careful preparation and directed family approaches are essential for increasing organ donation consent.