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Do Kidney Exchanges Improve Patient Outcomes?

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  • Keith F. Teltser

Abstract

In this paper, I estimate the number of additional transplants generated by kidney exchanges. To do this, I analyze substitution patterns between exchange transplants and other transplant outcomes. Exploiting variation in patients' exposure to exchange activity across time and place, I find that 64 percent of exchange transplants represent new living donor transplants. Using the same approach, I find that an increase in the probability of receiving an exchange transplant reduces the probability of graft failure and reduces time spent waiting for a kidney. Back-of-the-envelope calculations suggest that each exchange transplant increases social welfare by $300,000 to $700,000.

Suggested Citation

  • Keith F. Teltser, 2019. "Do Kidney Exchanges Improve Patient Outcomes?," American Economic Journal: Economic Policy, American Economic Association, vol. 11(3), pages 427-453, August.
    • Handle: RePEc:aea:aejpol:v:11:y:2019:i:3:p:427-53
    Note: DOI: 10.1257/pol.20170678
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    Citations

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    Cited by:

    1. Ghanbariamin, Roksana & Chung, Bobby W., 2020. "The effect of the National Kidney Registry on the kidney-exchange market," Journal of Health Economics, Elsevier, vol. 70(C).
    2. Barnes, Spencer, 2021. "Killing in the stock market: Evidence from organ donations," Journal of Behavioral and Experimental Finance, Elsevier, vol. 32(C).
    3. Becker, Gary S. & Elias, Julio Jorge & Ye, Karen J., 2022. "The shortage of kidneys for transplant: Altruism, exchanges, opt in vs. opt out, and the market for kidneys," Journal of Economic Behavior & Organization, Elsevier, vol. 202(C), pages 211-226.
    4. Kastoryano, Stephen, 2024. "Biological, Behavioural and Spurious Selection on the Kidney Transplant Waitlist," IZA Discussion Papers 16995, Institute of Labor Economics (IZA).
    5. Stith, Sarah S. & Li, Xiaoxue, 2021. "Does increasing access-to-care delay accessing of care? Evidence from kidney transplantation," Economics & Human Biology, Elsevier, vol. 41(C).

    More about this item

    JEL classification:

    • D47 - Microeconomics - - Market Structure, Pricing, and Design - - - Market Design
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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