What are the factors contributing to corneal donation (corneal donation) hesitancy among physicians (doctors)?

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Last updated: April 21, 2025View editorial policy

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From the Guidelines

To address research gaps regarding hesitancy in eye donation among doctors, I recommend implementing a multi-faceted approach that combines education, personal engagement, and systemic changes. This approach should prioritize the most recent and highest quality evidence, such as the studies published in JAMA Network Open in 2024 1, which highlight the importance of addressing physician reluctance to intervene in addiction and other health issues.

Key Components of the Approach

  • Medical schools should incorporate comprehensive modules on eye donation into their curricula, covering both technical aspects and ethical considerations.
  • Hospitals should establish regular workshops and continuing medical education programs specifically addressing misconceptions about eye donation, such as concerns about disfigurement or religious objections.
  • Personal testimonials from recipient families and donor families should be integrated into these educational efforts, as emotional connection often drives behavioral change more effectively than facts alone.
  • Healthcare institutions should develop clear protocols for approaching potential donor families and provide communication training for doctors to navigate these sensitive conversations.
  • Creating a recognition system for doctors who actively promote eye donation could incentivize participation.

Research Focus

Research should focus on understanding doctors' specific concerns through anonymous surveys and focus groups, with findings used to develop targeted interventions 1. The hesitancy among doctors is particularly problematic because healthcare professionals serve as role models and information sources for patients, making their attitudes toward eye donation disproportionately influential in addressing corneal blindness worldwide.

Prioritizing Recent and High-Quality Evidence

The most recent and highest quality studies, such as those published in 2024, should be prioritized when developing strategies to address hesitancy in eye donation among doctors 1. These studies provide valuable insights into the reasons for physician reluctance and the importance of addressing these concerns through education, personal engagement, and systemic changes.

From the Research

Research Gaps in Hesitancy of Eye Donation among Doctors

  • The studies 2, 3, 4, 5 highlight the need for increased awareness and education about eye donation among medical professionals, including doctors, to address hesitancy in eye donation.
  • A significant knowledge gap exists among undergraduate students and non-ophthalmologists regarding corneal donation criteria and procedures 2.
  • Barriers to eye donation among doctors and medical students include lack of awareness, desire to preserve the body, health issues, and ethical concerns during extraction 2, 4.
  • The willingness to donate eyes is higher among doctors and postgraduates compared to undergraduates, with popular reasons for donation including helping blind people improve their quality of life and the nobility of the act 2, 3.

Factors Influencing Hesitancy in Eye Donation

  • Age, gender, religion, and marital status are significant factors influencing knowledge and willingness to donate eyes among medical professionals 3.
  • Familial opposition is a major reason for hesitation among paramedical and allied health science students 4.
  • The practice pattern among nursing staff and paramedical workers needs to be improved, as they can play a pivotal role in strengthening hospital corneal retrieval programs and public awareness campaigns for eye donations 5.

Strategies to Address Hesitancy in Eye Donation

  • Impactful educational initiatives using preferred communication channels, such as social media, health workers, TV advertisements, and celebrity endorsements, can help address myths and misconceptions and increase willingness to donate eyes 2, 3.
  • Targeted educational interventions can enhance understanding of the parts of the eye that can be donated and avoid misconceptions about various aspects of eye donation among health sciences students 6.
  • Creating awareness about eye donation among doctors, medical students, and paramedics can help plan, educate, and motivate the public to pledge for eye donation 3, 4.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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