Turkish Journal of Medical Sciences
Abstract
Background/aim: The aim was to understand the factors underlying the dynamics of organ donation behavior by focusing on three different aspects. Three models were tested in this regard, namely (i) individual willingness for the donation of one’s own organs, (ii) willingness to approve organ donation for close relatives, and (iii) a family veto gap.
Materials and methods: A national-level adult sample from the Eurobarometer 72.3 survey (collected in 2009) conducted in Türkiye was utilized. Standard and penalized logistic regression models were employed to conduct the analyses.
Results: The results show that discussing organ donation with family members and being aware of the organ donation law were associated with increased willingness to donate organs in all the study models. In addition, being a woman was associated with willingness to donate one’s own organs and approval for relatives, and living in an urban area was associated with approving donation for close family members. In the last model (the family veto gap) both family discussions and knowledge of the legal regulations were associated with a higher likelihood of discrepancy between personal willingness and family authorization decisions.
Conclusion: Social communication and legal awareness have a pivotal role in shaping organ donation decisions in Türkiye. Therefore, health policies that encourage social conversations and raise public awareness regarding legal regulations on organ donation may help narrow the family veto gap and strengthen societal support for organ donation. Future studies could be beneficial by including cultural and religious factors and using longitudinal approaches to better capture how donation decisions evolve over time.
Author ORCID Identifier
HASAN ANKARA: 0000-0002-8058-1428
HAKAN DEĞERLİ: 0000-0002-7268-4320
SEMİH BAŞ: 0000-0003-0093-6290
DOI
10.55730/1300-0144.6365
Keywords
donation regulations, family discussion, family veto gap, logistic regression model, Organ donation decisions
First Page
1208
Last Page
1219
Publisher
The Scientific and Technological Research Council of Türkiye (TÜBİTAK)
Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
ANKARA, H. G, DEĞERLİ, H, & BAŞ, S (2026). Beyond individual willingness: family veto, legal knowledge, and the dynamics of organ donation in Türkiye . Turkish Journal of Medical Sciences 56 (4): 1208-1219. https://doi.org/10.55730/1300-0144.6365