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Prioritizing Factors Affecting Deceased Organ Donation in Malaysia: Is a New Organ Donation System Required?

Authors Naghavi N, Mubarik MS, Rasiah R, Sharif Nia H

Received 11 March 2020

Accepted for publication 26 August 2020

Published 17 September 2020 Volume 2020:13 Pages 641—651


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Scott Fraser

Navaz Naghavi,1 Muhammad Shujaat Mubarik,2 Rajah Rasiah,3 Hamid Sharif Nia4

1Faculty of Business & Law, Taylor’s Business School, Taylor’s University, Lakeside Campus, Subang Jaya 47500, Selangor, Malaysia; 2Faculty of Business Administration & Social Sciences, Mohammad Ali Jinnah University, Karachi 7500, Pakistan; 3Asia-Europe Institute, University of Malaya, 50603 Kuala Lumpur, Malaysia; 4Department of Nursing, Mazandaran University of Medical Science, Sari, Iran

Correspondence: Hamid Sharif Nia
Department of Nursing, Mazandaran University of Medical Science, Sari, Iran
Tel +989111275093

Purpose: The gap between the demand and the supply of human organs for transplantation is on the rise in Malaysia, despite the efforts of governments to promote donor registration. Factors affecting willingness to donate are contextual and vary from country to country. This research mainly focuses on the selection of most suitable organ donation system through factors affecting willingness to donate in Malaysia. The objectives of this study are to prioritize those factors acting as the pillars of the organ donation system and further to select the most suitable organ donation system for Malaysia.
Patients and Methods: The data were collected from 35 experts by using a bipolar questionnaire. The study applied an analytical hierarchal process (AHP) for prioritization factors contributing to willingness to donate and then selection of a suitable organ donation system based on prioritized factors.
Results: Based on the AHP results, it is evident that donation perception (0.36) has the highest priority in influencing organ donation rates, followed by socioeconomic status (0.32), demographic factors (0.23), and financial incentives (0.09). Further, our results challenge the existing opt-in donation system in Malaysia and present a presumptive approach as a suitable system for increasing deceased donation rate in Malaysia. Presumptive approach promotes the role of health-care professionals in securing the family consent.
Conclusion: This approach is a person-oriented rather than process-oriented strategy and it relies on designated requesters’ skills to evoke altruism among bereaved families. Based on results, the authors recommended that relevant government agencies focus on training nurses to discuss donation with bereaved families and raising public awareness.

Keywords: analytical hierarchal process, AHP, deceased organ donation, presumptive approach, willingness to donate, WTD

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