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Does default organ donation registration compromise autonomous choice? Public responses to a new donor registration system

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  • Wachner, Jonas
  • Adriaanse, Marieke
  • Hoven, Mariette van den
  • de Ridder, Denise

Abstract

Defaults have been shown to increase the number of organ donor registrations but it is unclear whether they violate personal autonomy of the people being registered. The implementation of a new Donor Act in the Netherlands, providing people with the opportunity for active registration before being defaulted, allowed for examining to what extent default registration affects personal autonomy and associated concepts. In an online survey among a representative sample (N = 1259), four groups were compared regarding autonomy, decision-making competence, decision satisfaction, and being pressured to register as a donor: people (1) who had registered their status prior to the Donor Act, (2) who had not yet received an invitation for default registration, (3) who had received an invitation and then registered their choice, and (4) who had received an invitation but took no action and were defaulted into donor registration. We found that among the three groups who were the target population of the new arrangement, people who registered their status reported relatively high levels of autonomy and related concepts. However, people who were invited to register but passed the opportunity to respond reported lower scores on these outcomes. We conclude that default organ donation registration may bear negative consequences for a minority of people who feel unable to take action after having been invited to make a choice for registration.

Suggested Citation

  • Wachner, Jonas & Adriaanse, Marieke & Hoven, Mariette van den & de Ridder, Denise, 2022. "Does default organ donation registration compromise autonomous choice? Public responses to a new donor registration system," Health Policy, Elsevier, vol. 126(9), pages 899-905.
    • Handle: RePEc:eee:hepoli:v:126:y:2022:i:9:p:899-905
    DOI: 10.1016/j.healthpol.2022.07.002
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    References listed on IDEAS

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    1. Indranil Goswami & Oleg Urminsky, 2016. "When should the ask be a nudge? The Effect of Default Amounts on Charitable Donations," Natural Field Experiments 00659, The Field Experiments Website.
    2. Jonas Wachner & Marieke A Adriaanse & Denise T D De Ridder, 2021. "The effect of nudges on autonomy in hypothetical and real life settings," PLOS ONE, Public Library of Science, vol. 16(8), pages 1-16, August.
    3. Ulf Liebe & Jennifer Gewinner & Andreas Diekmann, 2021. "Large and persistent effects of green energy defaults in the household and business sectors," Nature Human Behaviour, Nature, vol. 5(5), pages 576-585, May.
    4. van Dalen, Hendrik P. & Henkens, Kène, 2014. "Comparing the effects of defaults in organ donation systems," Social Science & Medicine, Elsevier, vol. 106(C), pages 137-142.
    5. François Sainfort & Bridget C. Booske, 2000. "Measuring Post-decision Satisfaction," Medical Decision Making, , vol. 20(1), pages 51-61, January.
    6. Jachimowicz, Jon M. & Duncan, Shannon & Weber, Elke U. & Johnson, Eric J., 2019. "When and why defaults influence decisions: a meta-analysis of default effects," Behavioural Public Policy, Cambridge University Press, vol. 3(2), pages 159-186, November.
    7. Brigitte C. Madrian & Dennis F. Shea, 2001. "The Power of Suggestion: Inertia in 401(k) Participation and Savings Behavior," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 116(4), pages 1149-1187.
    8. Baron, Jonathan & Ritov, Ilana, 1994. "Reference Points and Omission Bias," Organizational Behavior and Human Decision Processes, Elsevier, vol. 59(3), pages 475-498, September.
    9. Cass Sunstein, 2015. "Nudges Do Not Undermine Human Agency," Journal of Consumer Policy, Springer, vol. 38(3), pages 207-210, September.
    10. Vugts, Anastasia & Van Den Hoven, Mariëtte & De Vet, Emely & Verweij, Marcel, 2020. "How autonomy is understood in discussions on the ethics of nudging," Behavioural Public Policy, Cambridge University Press, vol. 4(1), pages 108-123, March.
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