Especially when grieving over recent loss, approaching grieving family members for consent can lead to anger, causing significant communication challenges in practice. This, in turn, results in the rejection of the organ donation wishes of young generation.

Strategy 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.

IDEA To ensure the smooth execution of organ donation among young generation, Hear My Last Wish transforms passivity into proactivity. At the critical point in the organ donation process, doctors in the hospital's organ donation negotiation room will play the young generation’s Last Wish to seek consent from living relatives, providing powerful emotional comfort.

This approach reduces conflicts in the organ donation process and leverages strong persuasion, leading to more successful organ donation executions and fulfilling the donation intentions of the younger generation.?

Execution Hear My Last Wish, developed in collaboration with the Taiwan Ministry of Health and Welfare and Taiwan Organ Sharing Registry & Patient Autonomy Promotion Center, was publicly launched in 2023. All audio files are annotated in Taiwan's National Health Insurance Database (NHID), signifying donation wishes.

It is officially incorporated into Taiwan's standard organ donation process in collaboration with all organ transplant hospitals.

The official organ donation consent forms now include a Hear My Last Wish section for signatories' direct access. Volunteers at organ donation consent signing stations nationwide provide tutorials, enabling people to scan the QR code on the consent form, enter the website, and record their willing anytime, anywhere.

This empowers young generation who consent to organ donation to actively express their wishes, increasing the likelihood of successful execution.

Taiwan Organ Sharing Registry & Patient Autonomy Promotion Center also assist organ transplant hospitals in offering internal training courses, distributing user manuals, and establishing standard operating procedures.

They educate on-site coordinators and volunteers at hospitals on how to use the Hear My Last Wish database during appropriate negotiation times, facilitating communication with potential donors' living relatives using recorded audio files.

Result ? Taiwan Ministry of Health and Welfare 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, the number of organ donation consent signings increased by 127%, with over 84% of signatories 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 stations with high foot traffic. Each station is staffed with volunteers to provide instructions on recording voiceprint, 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.