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Psychological and behavioral factors in organ donation.

Researchers agree that the public generally is favorably disposed toward organ donation. Although people show gaps in understanding about the process of donation (for example, most do not understand that the next of kin makes the final decision to donate organs), very few are opposed to the concept of donating organs. Particular circumstances, such as knowledge of the intentions of the deceased, can significantly alter the likelihood of donation. Gaining a cross-national and cross-cultural perspective on organ donation is important. Issues of how to facilitate organ donation are being handled in diverse ways by different societies, but without the knowledge of mistakes experienced elsewhere. For example, legal changes in consent laws, such as instituting required-request or opting-out policies, have not reduced the shortage in various European countries (10), yet those same ineffective remedies are being implemented or seriously considered in the United States. (A required-request policy means that physic...