【Target Audience】Young generation has the intention to donate organs but is hesitating to sign the consent form.

【Action】Addressing the hesitation among young generation who believe that signing an organ donation consent form is ineffective due to potential family deny at the critical moment. This resolution aims to instill confidence in them to willingly sign organ donation consent forms.

【Influence】Encouraging a higher rate of organ donation consent form signings among young generation and subsequently increasing the number of successful organ donation cases.

Taiwan, as a trailblazer in organ transplant legislation in Asia, witnesses a heart-wrenching reality. Despite a surge in signed donation consent forms, the annual successful cases (10 per million people) lag far behind countries like Spain (50 per million) and Portugal (30 per million). This disparity stems from cultural differences and the process requiring family consent, intensifying the urgency of the issue. Taiwan Organ Sharing Registry and Patient Autonomy Promotion Center tirelessly advocates for change. Each unrealized case represents a missed opportunity to save a life, emphasizing the imperative need to reform processes and assist families in supporting the wishes of potential donors.

In Asia, people are reluctant to openly discuss organ donation due to the taboo surrounding death-related topics. There is a particular belief that organ donation may leave the body incomplete, hindering the donor from reaching heaven after death. This disapproval of organ donation further impedes its promotion.

In Taiwan, even signed consent forms require post-mortem family approval for organ transplantation. While this policy aims to verify authenticity and prevent disputes, societal aversion leaves many unaware of the deceased's donation preferences. Fueled by doubt and grief, up to 99% of living relatives may refuse consent during hospital consent-seeking, leading to organ donation procedure failures.

Hear My Last Wish is an innovative digital service designed in collaboration between Taiwan Organ Sharing Registry and Patient Autonomy Promotion Center and the Taiwan Ministry of Health and Welfare. It allows potential donors to record their donation wishes in audio format, played at crucial moments during hospital consent-seeking, ensuring the smooth execution of their intentions.

Integrated into Taiwan's organ donation process since 2023, donors, upon signing consent, can record preferences on devices. The audio is annotated in Taiwan's National Health Insurance Database (NHID), signifying donation wishes. In the hospital's organ donation negotiation room, doctors will play the potential donor's "Last Wish" to seek consent from living relatives. This design targets the pivotal moment - obtaining consent from the potential donor's living family members. It enables donors to express intentions, reassuring and convincing loved ones, facilitating successful organ transplants, and realizing donors’ wishes.

In Taiwan, although young generation has a high rate of signing organ donation consent forms, the actual number of successful organ donation cases is disproportionately low. The main obstacle lies in the process where, even after signing the consent form, obtaining approval from living relatives is still necessary.

Rather than traditional promotion, we focus on transforming the execution process. Young potential donors record their unspoken thoughts about organ donation when signing the consent form. These recordings are played during critical coordination moments, aiding medical staff in persuasion. This empowers young generation to become their own persuaders, aiming to increase successful organ donation cases.

Hear My Last Wish was launched with a press conference featuring a thematic video starring renowned Taiwanese actor Liang Xiushen. It garnered media coverage both online and offline, prominently displayed in subway stations and on outdoor billboards.

The Taiwan Ministry of Health and Welfare incorporated Hear My Last Wish into the country's organ donation regulations. Information about Hear My Last Wish was added to consent forms, allowing signatories to scan a QR code and synchronize their recording on the website. The initiative was promoted at various levels, from health clinics and schools to blood donation stations.

All organ transplant hospitals actively participate in the promotion. Hospital transplant teams, doctors, nurses, and volunteers serve as ambassadors for Hear My Last Wish. They use the service in real organ donation scenarios, contributing to an increase in successful cases throughout Taiwan.

● Taiwan government officially integrated Hear My Last Wish into the country’s organ donation signing and execution process, successfully connecting with 42 organ transplant hospitals nationwide.

● By December 2023, organ donation consent signings increased by 127%, with over 84% of potential donors recording Hear My Last Wish, creating more than 3567 organ donation voiceprints.

● Organ donation successful cases in 2023 reached a decade-high record, with a 34.6% growth from last year.

● More than 300 organ donation signing stations have been established nationwide, including clinics, schools, and subway. Each station is staffed with volunteers to provide instructions, reaching a total of over 50,000 individuals per day.

● A thematic video featuring actor Liang Xiushen, garnered 1 million views in a month.

● "Hear My Last Wish" received coverage from over 20 media outlets, generating exposure valued at over $1.2 million.