Abstract
Background. The paper is aimed at understanding the main antecedents related to the blood donation propensity related to both donors and non-donors. With our research, we are going to analyse the two perspectives in order to identify similarities and differences concentrating on the Italian context. Our findings can be useful also in the COVID-19 epoch in which blood availability continue to be a primary need of hospitals. Blood is a vital resource that strongly affects the efficacy and sustainability of every national healthcare system and the system’s ability to achieve the goal of universal coverage. This is especially true in the COVID-19 epidemic, in which there is the need for blood among hospitals. Methods. The purpose of this paper is to understand the main antecedents of citizens’ blood donation intention and the propensity to enhance word of mouth among both donors and non-donors. To fulfil this purpose, the Theory of Planned Behaviour is adopted as a theoretical lens. An empirical investigation was performed in Italy, adopting a mixed methods research design. First, a qualitative analysis was carried out through 30 in-depth interviews. Then, a survey was used to quantitatively investigate the intention to donate among both donors (N=173) and non-donors (N=87). A conceptual model was developed and tested through Structural Equation Modeling, developing a multi-group approach. Results. The present study confirms the relations proposed by the Theory of Planned Behaviour, even though some differences between the two groups are shown. The construct Information and Communication is crucial for donors, non-donors, and non-donor inhibitors. Service quality has an impact on the propensity to generate Word Of Mouth. Conclusion. This paper reveals the main differences between donor and non-donor perspectives. Fruitful insights for enhancing blood donation awareness are provided. Our findings can also be useful in the COVID-19 epidemic, in which there is more need for blood in hospitals.