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The role of heterogeneity of patients' preferences in kidney transplantation

Author

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  • Mesfin G. Genie

    (Department of Economics, Ca' Foscari University of Venice)

  • Antonio Nicolò

    (Dipartimento di Scienze Economiche "Marco Fanno", Università degli Studi di Padova; School of Social Sciences, The University of Manchester)

  • Giacomo Pasini

    (Ca' Foscari University of Venice; NETSPAR, Network for Studies on Pensions, Ageing and Retirement, Tilburg)

Abstract

We elicit time and risk preferences for kidney transplantation from the entire population of patients of the largest Italian transplant centre using a discrete choice experiment (DCE). We measure patients' willingness-to-wait (WTW), expressed in months, for receiving a kidney with one-year longer expected graft survival, or low risk of complication. Using a mixed logit in WTW-space model, we find heterogeneity in patients' preferences. Our model allows WTW to vary with the patient's age and duration of dialysis. The results suggest that WTW correlates with age and duration of dialysis. The implication for transplant practice is that including individual preferences in kidney allocation protocols that assign "non-ideal" (expanded donor criteria) organs may not only increase the expected survival rates of patients with transplanted organs but also improve patients' satisfaction.

Suggested Citation

  • Mesfin G. Genie & Antonio Nicolò & Giacomo Pasini, 2019. "The role of heterogeneity of patients' preferences in kidney transplantation," Working Papers 2019: 25, Department of Economics, University of Venice "Ca' Foscari".
    • Handle: RePEc:ven:wpaper:2019:25
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    Cited by:

    1. Mesfin G. Genie & Mandy Ryan & Nicolas Krucien, 2023. "Keeping an eye on cost: What can eye tracking tell us about attention to cost information in discrete choice experiments?," Health Economics, John Wiley & Sons, Ltd., vol. 32(5), pages 1101-1119, May.
    2. 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.
    3. Mesfin G. Genie & Nicolas Krucien & Mandy Ryan, 2021. "Weighting or aggregating? Investigating information processing in multi‐attribute choices," Health Economics, John Wiley & Sons, Ltd., vol. 30(6), pages 1291-1305, June.

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    More about this item

    Keywords

    Stated preferences; Mixed logit; Willingness to wait; Marginal kidney;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • C90 - Mathematical and Quantitative Methods - - Design of Experiments - - - General
    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis

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