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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.
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:
- 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.
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