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Incentivizing Organ Donor Registrations with Organ Allocation Priority

Author

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  • Avraham Stoler
  • Judd B. Kessler
  • Tamar Ashkenazi
  • Alvin E. Roth
  • Jacob Lavee

Abstract

How donor organs are allocated for transplant can affect their scarcity. In 2008, Israel's Parliament passed an Organ Transplantation Law granting priority on organ donor waiting lists to individuals who had previously registered as organ donors. Beginning in November 2010, public awareness campaigns advertised the priority policy to the public. Since April 2012, priority has been added to the routine medical criteria in organ allocation decisions. We evaluate the introduction of priority for registered organ donors using Israeli data on organ donor registration from 1992 to 2013. We find that registrations increased when information about the priority law was made widely available. We find an even larger increase in registration rates in the 2 months leading up to a program deadline, after which priority would only be granted with a 3‐year delay. We also find that the registration rate responds positively to public awareness campaigns, to the ease of registration (i.e. allowing for registering online and by phone) and to an election drive that included placing registration opportunities in central voting locations. Copyright © 2016 John Wiley & Sons, Ltd.

Suggested Citation

  • Avraham Stoler & Judd B. Kessler & Tamar Ashkenazi & Alvin E. Roth & Jacob Lavee, 2017. "Incentivizing Organ Donor Registrations with Organ Allocation Priority," Health Economics, John Wiley & Sons, Ltd., vol. 26(4), pages 500-510, April.
    • Handle: RePEc:wly:hlthec:v:26:y:2017:i:4:p:500-510
    DOI: 10.1002/hec.3328
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    References listed on IDEAS

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    1. Tayfun Sönmez & Alvin E. Roth & M. Utku Ünver, 2007. "Efficient Kidney Exchange: Coincidence of Wants in Markets with Compatibility-Based Preferences," American Economic Review, American Economic Association, vol. 97(3), pages 828-851, June.
    2. , & , E., 2014. "Free riding and participation in large scale, multi-hospital kidney exchange," Theoretical Economics, Econometric Society, vol. 9(3), September.
    3. Alvin E. Roth, 2007. "Repugnance as a Constraint on Markets," Journal of Economic Perspectives, American Economic Association, vol. 21(3), pages 37-58, Summer.
    4. Judd B. Kessler & Alvin E. Roth, 2012. "Organ Allocation Policy and the Decision to Donate," American Economic Review, American Economic Association, vol. 102(5), pages 2018-2047, August.
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    Cited by:

    1. Herr, Annika & Normann, Hans-Theo, 2019. "How much priority bonus should be given to registered organ donors? An experimental analysis," Journal of Economic Behavior & Organization, Elsevier, vol. 158(C), pages 367-378.
    2. Ben Brewer, 2020. "Click it or give it: Increased seat belt law enforcement and organ donation," Health Economics, John Wiley & Sons, Ltd., vol. 29(11), pages 1400-1421, November.
    3. Li, Mengling & Riyanto, Yohanes E. & Xu, Menghan, 2022. "Remedying adverse selection in donor-priority rule using freeze period: Theory and experiment," Journal of Economic Behavior & Organization, Elsevier, vol. 194(C), pages 384-407.
    4. Niu, Xiaofei & Li, Jianbiao, 2020. "Incentivizing organ donation by swearing an oath: The role of signature and ritual," EconStor Preprints 203243, ZBW - Leibniz Information Centre for Economics, revised 2020.
    5. Li, Mengling & Riyanto, Yohanes E. & Xu, Menghan, 2023. "Prioritized organ allocation rules under compatibility constraints," Games and Economic Behavior, Elsevier, vol. 141(C), pages 403-427.
    6. Herr, Annika & Normann, Hans-Theo, 2018. "How much Priority Bonus Should be Given to Registered Donors? An Experimental Analysis," DICE Discussion Papers 306, Heinrich Heine University Düsseldorf, Düsseldorf Institute for Competition Economics (DICE).
    7. Mascia Bedendo & Linus Siming, 2019. "Incentivizing organ donation through a nonmonetary posthumous award," Post-Print hal-02315010, HAL.
    8. Mascia Bedendo & Linus Siming, 2019. "Incentivizing organ donation through a nonmonetary posthumous award," Health Economics, John Wiley & Sons, Ltd., vol. 28(11), pages 1320-1330, November.
    9. Julio J. Elías & Nicola Lacetera & Mario Macis, 2019. "Paying for Kidneys? A Randomized Survey and Choice Experiment," American Economic Review, American Economic Association, vol. 109(8), pages 2855-2888, August.
    10. Han, Hua-Jing & Wibral, Matthias, 2020. "Organ donation and reciprocity," Journal of Economic Psychology, Elsevier, vol. 81(C).
    11. Kim, Jaehong & Li, Mengling & Xu, Menghan, 2021. "Organ donation with vouchers," Journal of Economic Theory, Elsevier, vol. 191(C).
    12. Tinglong Dai & Ronghuo Zheng & Katia Sycara, 2020. "Jumping the Line, Charitably: Analysis and Remedy of Donor-Priority Rule," Management Science, INFORMS, vol. 66(2), pages 622-641, February.

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