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Does Presumed Consent Save Lives? Evidence from Europe

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  • Zeynep Burcu Ugur

Abstract

One policy tool that could affect organ donation rates is legislative defaults. In this study, we examine how presumed consent impacts cadaveric donations and kidney transplantations, using a panel dataset from the EU‐27 countries plus Croatia in the period 2000–2010. We find that presumed consent countries have 28% to 32% higher cadaveric donation and 27% to 31% higher kidney transplant rates in comparison to informed consent countries, after accounting for potential confounding factors. After studying willingness to donate one's organs and registering preferences for organ donation, we find that presumed consent could increase cadaveric donation rates, because people fail to register their preferences and many have no preference for organ donation. Copyright © 2014 John Wiley & Sons, Ltd.

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  • Zeynep Burcu Ugur, 2015. "Does Presumed Consent Save Lives? Evidence from Europe," Health Economics, John Wiley & Sons, Ltd., vol. 24(12), pages 1560-1572, December.
    • Handle: RePEc:wly:hlthec:v:24:y:2015:i:12:p:1560-1572
    DOI: 10.1002/hec.3111
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    References listed on IDEAS

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    1. Gary S. Becker & Julio Jorge Elías, 2007. "Introducing Incentives in the Market for Live and Cadaveric Organ Donations," Journal of Economic Perspectives, American Economic Association, vol. 21(3), pages 3-24, Summer.
    2. Greene, William, 2011. "Fixed Effects Vector Decomposition: A Magical Solution to the Problem of Time-Invariant Variables in Fixed Effects Models?," Political Analysis, Cambridge University Press, vol. 19(2), pages 135-146, April.
    3. David H. Howard, 2007. "Producing Organ Donors," Journal of Economic Perspectives, American Economic Association, vol. 21(3), pages 25-36, Summer.
    4. Alvin E. Roth, 2007. "Repugnance as a Constraint on Markets," Journal of Economic Perspectives, American Economic Association, vol. 21(3), pages 37-58, Summer.
    5. Fırat Bilgel, 2012. "The impact of presumed consent laws and institutions on deceased organ donation," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 13(1), pages 29-38, February.
    6. David H. Howard & Margaret M. Byrne, 2007. "Should We Promote Organ Donor Registries When So Few Registrants Will End Up Being Donors?," Medical Decision Making, , vol. 27(3), pages 243-249, May.
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    Cited by:

    1. Joan Costa-Font & Caroline Rudisill & Maximilian Salcher-Konrad, 2021. "‘Relative Consent’ or ‘Presumed Consent’? Organ donation attitudes and behaviour," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 22(1), pages 5-16, February.
    2. Ugur, Zeynep B & Molina Pérez, Alberto, 2023. "The toll of COVID-19 on organ donation and kidney transplantation in Europe: Do legislative defaults matter?," Health Policy, Elsevier, vol. 136(C).
    3. Selina Schulze Spüntrup, 2023. "Does Implementing Opt-Out Solve The Organ Shortage Problem? Evidence from a Synthetic Control Approach," ifo Working Paper Series 403, ifo Institute - Leibniz Institute for Economic Research at the University of Munich.
    4. Claudia Keser & Maximilian Späth, 2021. "Charitable Giving: Framing and the Role of Information," CIRANO Working Papers 2021s-23, CIRANO.
    5. Keser, Claudia & Späth, Maximilian, 2021. "Charitable giving: Framing and the role of information," University of Göttingen Working Papers in Economics 424, University of Goettingen, Department of Economics.
    6. Sameera Senanayake & Helen Healy & Steven M. McPhail & Keshwar Baboolal & Sanjeewa Kularatna, 2022. "Cost-Effectiveness and Budget Impact Analysis of Implementing a 'Soft Opt-Out' System for Kidney Donation in Australia," Applied Health Economics and Health Policy, Springer, vol. 20(5), pages 769-779, September.
    7. Selina Schulze Spüntrup, 2020. "Widerspruch oder Zustimmung? Wodurch mehr Menschen zu Organspendern werden," ifo Dresden berichtet, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 27(04), pages 11-14, August.

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