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Background: Consent policies for post-mortem organ procurement (OP) vary throughout Europe, and yet no studies have empirically evaluated the ethical implications of contrasting consent models. To fill this gap, we introduce a novel indicator of governance quality based on the ideal of informed support, and examine national differences on this measure through a quantitative survey of OP policy informedness and preferences in seven European countries. Methods: Between 2017–2019, we conducted a convenience sample survey of students (n = 2006) in Austria (AT), Belgium (BE), Denmark (DK), Germany (DE), Greece (GR), Slovenia (SI) and Spain (ES), asking participants about their donation preferences, as well as their beliefs and views about the policy in place. From these measures, we computed indices of informedness, policy support, and fulfilment of unexpressed preferences, which we compared across countries and consent systems. Results: Our study introduces a tool for analyzing policy governance in the context of OP. Wide variation in policy awareness was observed: Most respondents in DK, DE, AT and BE correctly identified the policy in place, while those in SI, GR and ES did not. Respondents in opt-out countries (AT, BE, ES and GR) tended to support the policy in place (with one exception, i.e., SI), whereas those in opt-in countries (DE and DK) overwhelmingly opposed it. These results reveal stark differences in governance quality across countries and consent policies: We found a preponderance of informed opposition in opt-in countries and a general tendency towards support–either informed or uninformed–in opt-out countries. We also found informed divergence in opt-in countries and a tendency for convergence–either informed or uninformed–among opt-out countries. Conclusion: Our study offers a novel tool for analyzing governance quality and illustrates, in the context of OP, how the strengths and weaknesses of different policy implementations can be estimated and compared using quantitative survey data. [ABSTRACT FROM AUTHOR]

Rising hostility between members of opposing political factions has gained considerable attention in both academic and popular press. The adverse effects of this phenomenon are widely recognized, but its psychological antecedents remain the focus of ongoing debate in political psychology. Past research has honed in on two conflicting explanations: one highlights the extent to which people self-define as supporters of particular parties or candidates (the identity view), and another points toward the intensity with which they disagree on substantive matters of policy (the issues view). A nationally representative survey of 1051 eligible Spanish voters yielded support for both explanations. The perceived magnitude and nature of disagreement were associated with increased partisan prejudice, while controlling for partisan identification. Path analyses revealed that issue-based prejudice was more pronounced among ideologically extreme agents (β = 0.237, 95% CI [0.174, 0.300]) than toward extreme targets (β = 0.140, 95% CI [0.078, 0.201]), and replicated recent findings that identity-based prejudice is motivated primarily by non-instrumental factors (β = 0.286, 95% CI [0.230, 0.337]). Together, these results indicate that discrimination across party lines responds to two fundamentally distinct, though at times co-occurring, imperatives: to coalesce in ideologically homogeneous communities, and to protect one’s sense of partisan identity. [ABSTRACT FROM AUTHOR]