title: Primary health care personnel faced with cadaveric organ donation: a multicenter study in south-eastern Spain.
abstract: BACKGROUND
  Primary health care (PHC) is the first point of contact between the public and the health system and it is an important channel for the communication and promotion of organ donation and transplantation. The objective of this study was to analyze the attitude of PHC personnel toward donation and to determine the psychosocial variables affecting this attitude.
  
  
  METHODS
  A random sample was stratified by job category and geographical location among PHC personnel (n = 482) from 32 health centers. Attitude was evaluated using a questionnaire validated in our local area. (It was completed anonymously and was self-administered.)
  
  
  RESULTS
  The questionnaire completion rate was 86% (n = 414): 78% (n = 325) are in favor and the remaining 22% (n = 89) are either against or are not sure. The reason given for a negative attitude is fear of apparent death (16%; n = 14). There are many independent factors that affect attitude: (i) job category (OR = 2.4); (ii) knowledge of the concept of brain death (OR = 2.2); (iii) a preference for alternatives to burial (OR = 2.99); (iv) being in favor of cremation (OR = 01.87) and (v) knowledge of the attitude of one's partner toward organ donation (OR = 0.312).
  
  
  CONCLUSIONS
  PHC personnel have a favorable attitude toward donation, especially physicians, although it would be useful to provide more information to PHC personnel. Physicians could be a key element in the direct and indirect promotion of donation and transplantation.
authors.affiliation: Coordinación Regional de Trasplantes de la Comunidad Autónoma de Murcia, Consejería de Sanidad, Murcia, Spain. arzrios@teleline.es
authors.forename: A
authors.initials: A
authors.lastname: Ríos
authors.forename: P
authors.initials: P
authors.lastname: Ramírez
authors.forename: P J
authors.initials: PJ
authors.lastname: Galindo
authors.forename: J
authors.initials: J
authors.lastname: Sánchez
authors.forename: E
authors.initials: E
authors.lastname: Sánchez
authors.forename: L
authors.initials: L
authors.lastname: Martínez-Alarcón
authors.forename: P
authors.initials: P
authors.lastname: Parrilla
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003151:Community Health Centers; D003625:Data Collection; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010564:Personnel, Hospital / Q000523:psychology*; D011320:Primary Health Care; D013030:Spain; D009927:Tissue and Organ Procurement