Background: Organ donation after citizen death (DCD) in China has developed gradually since the government promotes it powerfully from 2012, but the donation rate in China is still much lower than that of developed countries. Currently, donation in China can only happen under the agreement of donors' relatives. We aim to analyze the influence factors of the decision of donors' relatives, in order to get more knowledge about the current difficulties facing by organ donation work and explore a new pattern to improve organ donation in a healthy, positive, and sustainable manner.

Method: From March 2012 to November 2017, 1928 potential organ donors have been approached by OPO of Hunan province. We divided them into two groups: agreed group and rejected group. We collected the demographic data, reasons of decision, and family structure etc. and analyzed them.

Result: Among 1928 potential organ donation families, there were 580 agreeing to donate, of </del>which 382 successfully completed donation, and 198 failed to complete donation since disease deterioration or sudden death. There were 1348 objecting to donate. 48.6% of them rejected donation because of Chinese traditional views (n=655); the second reason was that the misunderstanding of donation work by their family members (n=382, 28.3%). Most families agreed to donate because they considered organ donation as the continuation of their family members' life and thought it was meaningful to help others (n=215, 56.28%). Post-processing arrangement and funeral convenience (n=118, 30.89%), and traditional funeral customs (n=52, 13.61%) were also the reasons of agreement.

Conclusion: Traditional views and social factors have played significant roles in organ donation decision in current China. Thus, we have to focus on the publicity and popularization of organ donation in order to increase the social identification rate of organ donation. In the meantime, hospital, relevant government department, social media and social groups should all find their roles in organ donation work and take their responsibilities.

CITATION INFORMATION: Tu B., Li C., Li C., Liu S., Zhao Y., She X., Ming Y. The Influence Factors of DCD Donors' Family Members' Willingness in Chinese Current Status (Hunan Province Experience) Am J Transplant. 2017;17 (suppl 3).

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