title: Rural primary care centers as a source of information about organ donation.
abstract: BACKGROUND
  Primary care is an important way of promoting health in the community, and this includes organ donation. In rural areas, this way of promoting health acquires special importance. Our objective was to analyze attitudes toward organ donation among primary care workers in rural health centers to assess their importance in circulating information about donation.
  
  
  METHODS
  A random sample, stratified according to job category among the primary care staff (n = 160), of workers in rural areas in our autonomous community (population < 10,000 inhabitants), evaluated attitudes toward donation using a questionnaire validated in our geographic area. To distribute the questionnaire it was necessary to contact the following in each health center: the coordinating physician, the nursing coordinator, and an administrative worker.
  
  
  RESULTS
  Of those questioned, 78% (n = 124) were in favor of donation, as opposed to 22% (n = 36) who are against it or undecided. As for the job category, physicians and nurses showed a more favorable attitude than nonhealth workers (90% and 80% vs 61%; P = .000). The psychosocial variables that were related to such an attitude were knowledge of the concept of brain death (P = .013) and lack of fear of manipulation of the deceased person (P = .002). Regarding information about organ donation and transplantation, 54% (n = 86) reported having been provided favorable information, with up to a quarter of the physicians considering other programs to be of greater interest for primary care than organ donation and transplantation.
  
  
  CONCLUSIONS
  Attitudes toward organ donation were favorable among a high percentage of primary care workers in rural centers; more than 50% have circulated favorable information on the subject. However, there is a high percentage with a negative or undecided attitude, especially among nonhealth workers, which should be reversed with promotional activities at the level of the health center.
authors.affiliation: Coordinación Regional de Trasplantes de la Comunidad Autónoma de Murcia, Consejería de Sanidad, Ronda de Levante, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Conesa
authors.forename: A
authors.initials: A
authors.lastname: Ríos
authors.forename: P
authors.initials: P
authors.lastname: Ramírez
authors.forename: J
authors.initials: J
authors.lastname: Sánchez
authors.forename: E
authors.initials: E
authors.lastname: Sánchez
authors.forename: O M
authors.initials: OM
authors.lastname: Fernández
authors.forename: M M
authors.initials: MM
authors.lastname: Rodríguez
authors.forename: F
authors.initials: F
authors.lastname: Ramos
authors.forename: P
authors.initials: P
authors.lastname: Parrilla
mesh_terms: D001294:Attitude to Health; D006282:Health Personnel / Q000523:psychology*; D006801:Humans; D011320:Primary Health Care; D019035:Rural Health Services / Q000458:organization & administration*; D013030:Spain; D009927:Tissue and Organ Procurement; D000078329:Workforce