Factors Influencing Organ Donation Decision Among Healthcare Personnel at Loei Hospital
Keywords:
Organ donation, Knowledge, Attitudes, Healthcare personnel, Loei HospitalAbstract
Background : Organ transplantation is the most effective treatment for patients with end-stage organ failure; however, the shortage of donated organs remains a major challenge. Healthcare personnel play a crucial role in promoting organ donation. This study aimed to identify factors influencing the organ donation decisions of healthcare personnel at Loei Hospital to inform the development of provincial-level donation campaigns. Methods: A cross-sectional study was conducted among 556 healthcare personnel from May 10 to June 10, 2025. Data were collected using a questionnaire covering demographic data, knowledge, attitudes, and willingness to donate organs. Generalized Estimating Equation (GEE) analysis was used to assess associations between these factors and organ donation decisions. Results: Among the participants, 128 individuals (23%) expressed willingness to donate organs. Moderate (score 4–7) and high (score >7) knowledge levels were significantly associated with donation decisions, with adjusted odds ratios (aOR) of 1.80 (95% CI: 1.51–2.30, p = 0.003) and 1.49 (95% CI: 1.31–1.74, p < 0.001), respectively. Similarly, moderate (score 25–40) and high (score >40) attitude levels showed stronger associations, with aORs of 4.81 (95% CI: 2.77–11.27, p = 0.04) and 5.78 (95% CI: 3.07–15.58, p = 0.014), respectively. Conclusion: Healthcare personnel with at least moderate knowledge and positive attitudes toward organ donation were more likely to choose to donate. Enhancing awareness and attitudes in this group may increase donation rates and support the development of effective institutional and community-based campaigns.
Downloads
References
Jaure A, Jha V, McElroy LM, Muller E, Oniscu GC, Serper M, Purnell TS, Scholes-Robertson N, Reese PP. Policy innovations to advance equity in solid organ transplantation. Lancet. 2025;405(10401):1699-1710. doi:10.1016/S0140-6736(25)00712-3
Organ Donation Center, Thai Red Cross Society. Annual Report on Organ Donation and Transplantation 2025 [Internet]. Bangkok: Organ Donation Center, Thai Red Cross Society; 2025 https://organdonate.redcross.or.th/assets/files/odc-news.pdf. Accessed April 12, 2025.
Kotamarthy HB, Sirga S, Somasekhar DA, et al. Knowledge, attitude, and awareness of organ donation among health care professionals: a prospective observational study from Hyderabad. Apollo Med. 2025;0(0). doi:10.1177/09760016251313656
Bloomer MJ, Brooks LA, Coventry A, Ranse K, Rowe J, Thomas S. The role of critical care nurses in organ and tissue donation: a position statement of the Australian College of Critical Care Nurses. Aust Crit Care. 2024;37(6):611-617. doi:10.1016/j.aucc.2024.05.010
Chen X, Wei W, Ai W. Organ donation: key factors influencing the younger generation's decision-making in China. Front Public Health. 2023;11:1052875. doi:10.3389/fpubh.2023.1052875
Beigzadeh A, Bahmanbijari B, Salajegheh M, Haghdoost AA, Rezaei H. Factors influencing decisions on organ donation in brain death patients. J Emerg Pract Trauma. 2015;1(2):60-66.
Hsieh FY, Bloch DA, Larsen MD. A simple method of sample size calculation for linear and logistic regression. Psychiatry Res. 1998; 57(2): 129–137. doi: 10.1016/S0165-1781(98)00042-4.
Nordfalk F, Olejaz M, Jensen AMB, Skovgaard LL, Hoeyer K. From motivation to acceptability: a survey of public attitudes towards organ donation in Denmark. Perioper Med (Lond). 2016;5:17. doi:10.1186/s13737-016-0035-2
Symvoulakis EK, Komninos ID, Antonakis N, et al. Attitudes to kidney donation among primary care patients in rural Crete, Greece. BMC Public Health. 2009;9:42. doi:10.1186/1471-2458-9-42
Dibaba FK, Goro KK, Wolide AD, Fufa FG, Garedow AW, Tufa BE, Bobasa EM. Knowledge, attitude and willingness to donate organ among medical students of Jimma University, Jimma Ethiopia: cross-sectional study. BMC Public Health. 2020 May 27;20(1):799. doi:10.1186/s12889-020-08931-y.
Nirat Imani. Content validity and index of item-objective congruence of a questionnaire on organ donation decision-making factors among hospital personnel in Loei province [master’s thesis]. Unpublished; 2002.
Carmine, EA, Zeller, RA. Reliability and validity of rating scales: a statistical approach. Psychol Bull. 1975; 82(1):51-63.
eGenesis. eGenesis Announces IND Clearance for EGEN-2784 in Kidney Transplant and Landmark Patient Updates in Ongoing Expanded Access Study. Press release. Sept 08, 2025.https://egenesisbio.com/press-releases/egenesis-announces-ind-clearance-for-egen-2784-in-kidney-transplant-and-landmark-patient-updates-in-ongoing-expanded-access-study/. Accessed October 13,2025
Conesa C, Ríos Zambudio A, Ramírez P, Canteras M, del Mar Rodríguez M, Parrilla P. Socio-personal profile of teenagers opposed to organ donation. Nephrol Dial Transplant. 2004;19(5):1269-1275. doi:10.1093/ndt/gfh075
Shrivastav V, Murugan Y, Gandhi R, Nagda J. Knowledge, attitudes, and practices regarding organ donation among medical students in India: a mixed methods study. Cureus. 2024 Mar 14;16(3):e56136. doi: 10.7759/cureus.56136.
Sukhaprom S. Success factors in negotiations for donation of organs, eyes and tissue in Health Zone 4. J Pub Health Manag Tech (JPMAT) [Internet]. 2020 Jan 10;9(3):296–303.https://he01.tci-thaijo.org/index.php/JPMAT/article/view/234780 . Accessed April 14, 2025.
Lam WA, McCullough LB. Influence of religious and spiritual values on the willingness of Chinese-Americans to donate organs for transplantation. Clin Transplant. 2000;14(5):449–56. doi:10.1034/j.1399-0012.2000.140502.x.
Tumin M, Tafran K, Tang LY, Chong MC, Jaafar NIM, Satar NM, et al. Factors associated with medical and nursing students’ willingness to donate organs. Medicine (Baltimore). 2016;95(30):e3178. doi:10.1097/MD.0000000000003178.
Chanbunlawat K. Knowledge, attitude, and belief toward organ donation of hospital personnel. J Public Health Res Ubon Ratchathani Rajabhat Univ [Internet]. 2017 Dec ;6(2):296–303. https://he02.tci-thaijo.org/index.php/ubruphjou/article/view/162585. Accessed April 14, 2025.
U.S. Department of Health and Human Services, Health Resources and Services Administration, Healthcare Systems Bureau. 2012 National Survey of Organ Donation Attitudes and Behaviors. Rockville (MD): U.S. Department of Health and Human services;2013.[Internet] https://www.organdonor.gov/sites/default/files/OrganDonation/files/SurveyReport.pdf
Hyde MK, Chambers SK. Information sources, donation knowledge, and attitudes toward transplant recipients in Australia. Prog Transplant. 2014;24(2):169–77. doi:10.7182/pit2014799
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Chulabhorn Royal Academy
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright and Disclaimer
Articles published in this journal are the copyright of Chulabhorn Royal Academy.
The opinions expressed in each article are those of the individual authors and do not necessarily reflect the views of Chulabhorn Royal Academy or any other faculty members of the Academy. The authors are fully responsible for all content in their respective articles. In the event of any errors or inaccuracies, the responsibility lies solely with the individual authors.
