Prioritizing Factors Affecting Deceased Organ Donation in Malaysia: Is a New Organ Donation System Required?

Figures & data

Table 1 Experts Sampled

Expert Group	Experts’ Affiliation	Number Sampled	Total
Doctors	Government hospitals	06	12
	Private hospitals	06
Hospital medical staff	Government hospital	05	12
	Private hospitals	07
Health-care professionals**	Researchers in health fields	08	08
Government policy advisors	Ministry of health	03	03
Total			35

Notes: Doctors, nurses, and health-care professionals selected have minimum of 10 years of experience dealing aHealth-care professional category represents those individuals who are directly or indirectly engaged to promote OD for minimum of 10 years.

Table 2 Scores for the Importance of Variables

Importance Scale	Definition of Importance Scale
1	Equally important preferred
2	Equally to moderately important preferred
3	Moderately important preferred
4	Moderately to strongly important preferred
5	Strongly important preferred
6	Strongly to very strongly important preferred
7	Very strongly important preferred
8	Very strongly to extremely important preferred
9	Extremely important preferred

Figure 1 A hierarchical model for policy selection.

Figure 2 Global weights of subfactors towards goal.

Table 3 Consistency Ratio

Criteria/Subcriteria	CR
Willingness to donate	0.017*
Financial incentives	0.000**
Socioeconomic status	0.010*
Demographic	0.030*
Donation perception	0.040*

Notes: * and ** show the level of significance at 5% and 1% respectively.

Table 4 Pairwise Comparison Judgment Matrices of Factors

OD Rate	Financial Incentives	Socioeconomic Status	Demographic
Financial incentives	–
Socioeconomic status	1.668	–
Demographic	0.513	1.980	–
Donation perception	0.553	1.566	0.913

Table 5 Pairwise Comparison Judgment Matrices of Sub-Factors

Financial Incentives	Cash Incentives	Financial Incentives
Cash	–
Financial support	0.486	–
Bereaved family support	0.303	0.403
Socioeconomic Status	Income	Occupation
Income	–
Occupation	0.89	–
Education	0.41	0.60
Demographic	Ethnicity	Religious
Ethnicity	–
Religion	0.460	–
Age	0.889	0.98
Donation Perception	Awareness	Trust
Awareness	–
Trust	1.167	–
Attitude	0.850	1.056

Table 6 Comparison of OD Systems Based on Individual Criteria

	Weightage	Opt In	Opt Out	Presumptive Approach
Financial incentives	0.09	0.39	0.27	0.34
Socioeconomic status	0 0.32	0.37	0.23	0.40
Donation perception	0.36	0.44	0.08	0.48
Demography	0.23	0.34	0.29	0.37
Prioritization of policy approaches		0.37	0.20	0.43

Table 7 Prioritization in Context of Malaysia

Goal	Criteria	Global Weighting	Subcriteria	Local Weights	Global Weighting
Selection of best policy	Financial incentives	0.09	Cash	0.25	0.022
			Financing funeral	0.25	0.022
			Bereaved family support	0.5	0.045
	Socioeconomic status	0.32	Income	0.18	0.057
			Occupation	0.24	0.076
			Education	0.58	0.185
	Demographic	0.23	Ethnicity	0.34	0.0782
			Religious	0.45	0.103
			Age	0.21	0.048
	Donation perception	0.36	Awareness	0.39	0.140
			Trust	0.29	0.104
			Attitude	0.32	0.115

Figure 3 Comparison of organ donation policies based on factors affecting willingness to donate.