37447University of Malaya, Malaysia.
65214Taylor's University, Malaysia.
Nurs Ethics. 2020 Sep;27(6):1436-1449. doi: 10.1177/0969733020918927. Epub 2020 May 15.
Organ supply-demand in developing countries worldwide has continued to widen. Hence, using a large survey (n ¼ 10,412), this study seeks to investigate whether human psychology could be used to inculcate philanthropy to raise deceased organ donation rates.
Three models were constructed to examine multidimensional relationships among the variables. Structural equation modeling was applied to estimate the direct and indirect influence of altruism, financial incentives, donation perception, and socioeconomic status simultaneously on willingness to donate deceased organs.
The study was approved by the University of Malaya ethics committee.
The results show that altruism amplifies the impact of socioeconomic status and donation perception on willingness to donate. Also, the results show that financial incentives cannot complement altruism to raise organ donation rates. Hence, investing in education and public awareness enhances altruism in people, which then increases the propensity to donate.
Evidence suggests that governments should allocate resources to increase public awareness about organ donation. Awareness programs about the importance of philanthropic donations and the participation of medical consultants at hospitals in the processes form the foundation of such a presumptive approach.
全球发展中国家的器官供需差距持续扩大。因此，本研究采用一项大型调查（n=10412），旨在探讨人类心理学是否可以用来培养慈善精神，以提高已故器官捐赠率。
构建了三个模型来检验变量之间的多维关系。结构方程模型用于同时估计利他主义、经济激励、捐赠认知和社会经济地位对捐赠已故器官意愿的直接和间接影响。
该研究得到了马来亚大学伦理委员会的批准。
结果表明，利他主义放大了社会经济地位和捐赠认知对捐赠意愿的影响。此外，结果还表明，经济激励不能补充利他主义来提高器官捐赠率。因此，投资于教育和公众意识可以增强人们的利他主义，从而增加捐赠的可能性。
有证据表明，政府应分配资源以提高公众对器官捐赠的认识。关于慈善捐赠重要性的宣传计划以及医院医疗顾问在这些过程中的参与是这种假设方法的基础。
