Factors Encouraging and Inhibiting Organ Donation in Israel
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Although transplantation surgeries are relatively successful and save the lives of many, only few are willing to donate organs. In order to better understand the reasons for donation or refusing donation and their implications on and influence by public policy, we conducted a survey examining public views on this issue in Israel. Between January and June 2010, an anonymous questionnaire based on published literature was distributed among random and selected parts of Israeli society and included organ recipients, organ donors, soldiers, university and high school students, and the general population. The analysis of 799 questionnaires revealed that, although 74.7 percent have not signed a donor card, 60.8 percent of participants consider doing so. Additionally, 54.3 percent of respondents objected to giving or receiving compensation for donation, and, if at all, priority in transplantation care is the most desired form of such compensation. The health status of the donor and knowing that donation saves lives or that there exists a shortage of organs for transplantation are the two factors most affecting motivation to donate. Lack of information, relatives’ views on donation, and type of organ involved in donation are factors most inhibiting donation. Willingness to donate is significantly affected by the proximity of the recipient to the donor. With regard to most organs, their contribution to one’s sense of “self” and its symbolic role strongly affects motivation to donate, except for donation to relatives. Compensation for organ donation has little effect on motivation to donate during life and after death. Our findings suggest new ways to construct a more effective public policy on this issue.
KeywordsOrgan donation Transplantation Compensation for organ donation Health policy
We would like to acknowledge the financial support of the Research Fund at Soroka University Medical Center and the help and advice of Dr. Or Catz in providing the statistical analysis for this study and of Mr. Ofir Lang (M.A.) for his superb administrative assistance. We also wish to thank Ms. Tamar Ashkenazi at the Israel Transplant Center for coordinating organ recipients and donors to participate in the survey and the many high school directors and teachers whose cooperation and good will enabled high response rates among high school students.
Statement of Competing Interests
The authors report no competing interests.
- Cherry, M. 2005. Kidney for sale by owner: Human organs, transplantation, and the market. Washington, D.C.: Georgetown University Press.Google Scholar
- Dworkin, G. 1994. Markets and morals: The case for organ sales. In Morality, harm and the law, ed. G. Dworkin, 155–161. Boulder: Westview Press.Google Scholar
- European Commission. 2003. Human organ transplantation in Europe: An overview. http://ec.europa.eu/health/ph_threats/human_substance/documents/organ_survey.pdf.
- European Commission. 2006. Organ donation and transplantation: Policy options at EU level: Consultation Document, June 27. ec.europa.eu/health/ph_threats/human_substance/oc_organs/consultation_paper.pdf.Google Scholar
- European Commission. 2007. Special Eurobarometer: Europeans and organ donation. http://ec.europa.eu/public_opinion/archives/ebs/ebs_272d_en.pdf.
- Falomir-Pichastor, J.M., J.A. Berent, and A. Pereira. 2011. Social psychological factors of post-mortem organ donation: A review of detriments and promotion strategies. Health Psychology Review. doi: 10.1080/17437199.2011.570516.
- Gargano, G., A.M. Nagy, and M.M. Rowe. 2004. Identity and motivation predict behavior and intention of organ donation. American Journal of Health Studies 19(4): 241–245.Google Scholar
- Jan, S., K. Howard, A. Cass. 2010. A proposal to increase deceased organ donation through an altruistic incentive. BMJ, August 30. http://www.bmj.com/content/340/bmj.c2182?tab=responses.
- Meranda, A. 2008. Knesset approves organ donation law. Ynetnews.com, March 25. http://www.ynetnews.com/articles/0,7340,L-3523461,00.html.
- Ministry of Health. 2011. Israeli Transplant Center—ADI. http://www.health.gov.il/transplant/index.htm.
- Mocan, N., and Tekin, E. 2005. The determinants of the willingness to be an organ donor. National Bureau of Economic Research Working Paper No. 11316, May. http://www.nber.org/papers/w11316.pdf.
- Satel, S., ed. 2008. When altruism isn’t enough: The case for compensating kidney donors. Washington, D.C.: AEI Press.Google Scholar
- Sharp, L.A. 2006. Strange harvest: Organ transplants, denatured bodies, and the transformed self. Berkeley: University of California Press.Google Scholar
- Sperling, D. 2008a. Me or mine? On property from personhood, symbolic existence and motivation to donate organs. In Organ transplantation: Ethical, legal and psychological aspects—towards a common European policy, ed. W. Weimar, M.A. Bos, and J.J. van Busschbach, 463–470. Lengerich: PABST Science Publishers.Google Scholar
- Sperling, D. 2008b. Posthumous interests: Legal and ethical perspectives. Cambridge: Cambridge University Press.Google Scholar
- Taylor, J.S. 2005. Stakes and kidneys: Why markets in human parts are morally imperative. Farnham, Surrey, U.K.: Ashgate.Google Scholar
- U.S. Department of Health and Human Services. 2009. OPTN/SRTR annual report: Transplant data 1999–2008. http://optn.transplant.hrsa.gov/ar2009/.
- Verheijde, J.L., M.Y. Rady, J.L. McGregor, and C. Friederich-Murray. 2009. Enforced of presumed-consent policy and willingness to donate organs as identified in the European Union survey: The role of legislation in reinforcing ideology in pluralistic societies. Health Policy 90(1): 26–31.PubMedCrossRefGoogle Scholar
- Wilkinson, S. 2003. Bodies for sale: Ethics and exploitation in the human body trade. New York: Routledge.Google Scholar