Changing the method of consent to increase the numbers of cadaveric donors in Saudi Arabia: the autonomy paradox

Background: In Saudi Arabia, the gap between demand and availability of organs persists, with a total 13,731 patients who remain on waiting list in 2019. Family refusal is major obstacle limiting donation since their consent must be obtained prior to retrieval organs. The cause family mainly due unknown wishes loved one become donor. This analysis aimed compare three systems obtaining terms effectiveness, respect for personal autonomy, cultural role families Arabia ensure feasibility effectiveness increasing number donors. Policy alternatives implications: The include opt-in (explicit consent), opt-out (presumed mandated choice systems. policy might optimal solution investigate it could balance individual autonomy Arabia. Conclusions recommendations: Mandated an option that ensures while influencing next kin's decision donate Nevertheless, more research should conducted support adopting this context. Additionally, recommendation makers utilize Tawakkalna app send alerts kin when user registers as donor user's consent.