Can financial rewards complement altruism to raise deceased organ donation rates?

Rasiah, Rajah and Naghavi, Navaz and Mubarik, Muhammad Shujaat and Nia, Hamid Sharif (2020) Can financial rewards complement altruism to raise deceased organ donation rates? Nursing Ethics, 27 (6). pp. 1436-1449. ISSN 0969-7330, DOI https://doi.org/10.1177/0969733020918927.

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Abstract

Background: Organ supply-demand in developing countries worldwide has continued to widen. Hence, using a large survey (n 1/4 10,412), this study seeks to investigate whether human psychology could be used to inculcate philanthropy to raise deceased organ donation rates. Methods: 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. Ethical Considerations: The study was approved by the University of Malaya ethics committee. Results: 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. Conclusion: 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.

Item Type: Article
Funders: UM/MOHE [Grant no. UM.C/625/1/HIR/MOHE/ASHS/05]
Uncontrolled Keywords: Altruism; Donation perception; Financial incentives; Structural equation modeling; Willingness to donate
Subjects: H Social Sciences > HG Finance
Divisions: Deputy Vice Chancellor (Academic & International) Office > Asia-Europe Institute
Depositing User: Ms Zaharah Ramly
Date Deposited: 10 Jun 2025 01:38
Last Modified: 10 Jun 2025 01:38
URI: http://eprints.um.edu.my/id/eprint/36687

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