International Multicenter Opinion Study: Administrative Personnel From Spanish and Mexican Health Centers Faced With Human Organ Donation for Transplantation A. Ríos, A. López-Navas, M.A. Ayala-García, M.J. Sebastián, L. Martínez-Alarcón, B. González, E.J. Ramírez, G. Muñoz, A. Camacho, J.S. Rodríguez, M.A. Martínez, A. Nieto, G. Ramis, P. Ramírez, and P. Parrilla ABSTRACT Introduction. Administrative personnel from healthcare centers are an important opin- ion group given their direct relationship to patients and the general public. Objective. The objective of this study was to analyze the attitudes of administrative personnel in Spanish and Mexican healthcare centers toward various kinds of donation. Material and Methods. A random selection of 418 administrative staff from 32 primary care centers and 9 hospitals in Spain and Mexico (“Proyecto Donante, Murcia”) used a validated questionnaire to explore attitudes. Results. Most (76%) respondents favored deceased donation. Mexican workers had the most favorable attitude (P  .001). Factors influencing this attitude (P  .05) were as follows: type of healthcare center, clinical service, personal experience of organ donation and transplantation (ODT), attitude toward living donation, attitude toward the donation of a family member’s organs, discussion of ODT, partner’s attitude toward ODT, participation in pro-social activities, and variables related to attitudes toward the body. Most respondents (89%) favored related living kidney donation (LKD) and 87% favored living liver donation (LLD). Mexican respondents showed the most favorable attitudes (P  .05). Factors influencing this attitude (P  .05) were as follows: personal experience of ODT, belief that a transplant is needed, willingness to accept a living organ, family discussion about ODT, partner’s attitude about the matter, and respondent’s awareness of the view of his or her religion toward ODT. Conclusion. Attitudes toward deceased organ donation were not favorable among administrative personnel from Spanish compared with Mexican centers, although attitudes toward LKD and LLD were favorable in both countries. T HE EXCESS of organ demand over supply is continu- ally increasing. Therefore, it is becoming necessary to promote the various kinds of organ donation, both de- ceased as well as living. This process is leading to an increased participation of the general public, who may eventually donate their organs. The donation rates of deceased versus living donation are different in Spain and Mexico. For deceased organ dona- tion, Spain is the country with the highest rate in the world (34.3 donors per million population [pmp] in 2008). 1 In Mexico the rates are much lower (3.5 pmp in 2008). 2 With regard to living kidney donation (LKD), the difference is From the Hospital Universitario Virgen de la Arrixaca (A.R., A.L.-N., L.M.-A., G.R., P.R., P.P.), Coordinación Autonómica de Trasplantes, Murcia, Spain; Hospital Regional de Alta Especialidad del Bajı´o y Universidad de Guanajuato (M.A.A.-G., B.G., E.J.R., G.M., J.S.R., M.A.M., A.N.), León, Guanajuato, México; and Coor- dinación de Donación y Trasplantes (M.J.S., A.C.), UMAE Hospital de Especialidades N° 25 IMSS, Monterrey, México. Address reprint requests to Dr Antonio Ríos Zambudio, Avd. de la Libertad n° 208, Casillas 30007, Murcia, Spain. E-mail: ARZRIOS@teleline.es © 2010 by Elsevier Inc. All rights reserved. 0041-1345/–see front matter 360 Park Avenue South, New York, NY 10010-1710 doi:10.1016/j.transproceed.2010.05.065 Transplantation Proceedings, 42, 3093–3097 (2010) 3093