Abstract: SA-OR073
Leveraging Information and Communication Technology and Voiceprint Technology to Promote Posthumous Organ Donation in Taiwan: Preliminary Results of the "Hear My Last Wish" Initiative
Session Information
- Transplantation: Clinical Controversies in Donation, Access, Monitoring, and Treatment
November 08, 2025 | Location: Room 370A, Convention Center
Abstract Time: 04:30 PM - 04:40 PM
Category: Transplantation
- 2102 Transplantation: Clinical
Author
- Tsai, Hung Bin, Taiwan Organ Sharing Registry and Patient Autonomy Promotion Center, Taipei City, Taiwan
Group or Team Name
- Taiwan Organ Sharing Registry and Patient Autonomy Promotion Center.
Background
Taiwan has promoted organ donation for over two decades, with 630,659 registered donors. As of May 2025, 11,183 patients remain on the transplant waiting list, including 8,542 needing kidneys. Despite increasing donor registrations, family hesitation during grief often delays or prevents consent—especially within the 36-hour retrieval window. This study explores the use of information and communication technology (ICT) to amplify donor intent and support families in timely decision-making.
Methods
In collaboration with OPOs, the Ministry of Health and Welfare, and private tech partners, the Taiwan Organ Sharing Registry and Patient Autonomy Promotion Center (TOSR-PAPC) launched the Organ Donation Voiceprint Card in November 2023. This tool stores a legally valid consent and a voice message (up to 10 minutes) in the national registry. Upon death, healthcare teams play the donor’s message to their family, expressing gratitude and explicit intent to donate.
To boost engagement, TOSR-PAPC launched the “Hear My Last Wish” campaign in March 2024, using AI voice replication and ChatGPT-assisted scripting to craft emotionally resonant messages, transformed into NFC-enabled voiceprint art cards.
Results
Since launch, 42 OPOs have adopted the Voiceprint Card. In March 2024, 5,000 participants across 78 hospitals joined the campaign, resulting in 3,562 voiceprints and a 127% increase in signed consents. Media impressions surpassed 1.2 million.
Between January and August 2024, 2,127 applied for recordings; completed entries rose from 272 to 695. Online consent rates increased from 1.5% to 21.4% by December, with a total of 43,012 new consents signed.
Conclusion
In Taiwan's reserved, family-centered culture, voice recordings offer a sincere and effective way to convey donor intent. The integration of ICT and AI tools has strengthened communication, improved consent rates, and increased public engagement. TOSR-PAPC will continue refining the process to honor autonomy and expand access to organ donation.
Funding
- Government Support – Non-U.S.