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dc.creatorTraino, Heather Marie
dc.creatorMolisani, A. J.
dc.creatorSiminoff, Laura
dc.date.accessioned2023-06-22T15:11:25Z
dc.date.available2023-06-22T15:11:25Z
dc.date.issued2022-12-30
dc.identifier.issn1600-6143
dc.identifier.doihttp://dx.doi.org/10.34944/dspace/8703
dc.identifier.urihttp://hdl.handle.net/20.500.12613/8739
dc.description.abstractAlthough federal mandate prohibits the allocation of solid organs for transplantation based on “accidents of geography,” geographic variation of transplantable organs is well documented. This study explores regional differences in communication in requests for organ donation. Administrative data from nine partnering organ procurement organizations and interview data from 1339 family decision makers (FDMs) were compared across eight geographically distinct US donor service areas (DSAs). Authorization for organ donation ranged from 60.4% to 98.1% across DSAs. FDMs from the three regions with the lowest authorization rates reported the lowest levels of satisfaction with the time spent discussing donation and with the request process, discussion of the least donation-related topics, the highest levels of pressure to donate, and the least comfort with the donation decision. Organ procurement organization region predicted authorization (odds ratios ranged from 8.14 to 0.24), as did time spent discussing donation (OR = 2.11), the number of donation-related topics discussed (OR = 1.14), and requesters’ communication skill (OR = 1.14). Standardized training for organ donation request staff is needed to ensure the highest quality communication during requests, optimize rates of family authorization to donation in all regions, and increase the supply of organs available for transplantation.
dc.format.extent8 pages
dc.languageEnglish
dc.language.isoeng
dc.relation.ispartofFaculty/ Researcher Works
dc.relation.haspartAmerican Journal of Transplantation, Vol. 17, Iss. 6
dc.relation.isreferencedbyWiley
dc.rightsAttribution-NonCommercial-NoDerivs CC BY-NC-ND
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectHealth services and outcomes research
dc.subjectSocial sciences
dc.subjectDonors and donation
dc.subjectOrgan procurement organization
dc.titleRegional Differences in Communication Process and Outcomes of Requests for Solid Organ Donation
dc.typeText
dc.type.genreJournal article
dc.description.departmentSocial and Behavioral Sciences
dc.relation.doihttps://doi.org/10.1111/ajt.14165
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.description.schoolcollegeTemple University. College of Public Health
dc.creator.orcidSiminoff|0000-0002-6775-665X
dc.temple.creatorTraino, Heather Marie
dc.temple.creatorSiminoff, Laura A.
refterms.dateFOA2023-06-22T15:11:25Z


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