Howard David H, Byrne Margaret M
Department of Health Policy and Management, Emory University, Atlanta, GA 30322, USA.
Med Decis Making. 2007 May-Jun;27(3):243-9. doi: 10.1177/0272989X07299539.
A major obstacle facing efforts to register organ donors is that the likelihood that any given registrant will die in such a way as to render his or her organs suitable for donation is extremely low. Such policies make sense only if the resources used to sign up an additional donor are proportional to the expected benefits.
Using data on historical donation patterns, estimates of the potential donor supply, and an estimate of the monetary value of an organ donor, the authors calculate the average value to society of a registrant as a function of age at registration.
Under a "first-person consent" regime, the value of a registrant ages 18 to 34 years is $1900. The value of registering individuals who have not already registered is even higher because these persons are more likely to become donors. If donor families have the right of refusal, the value of a registrant is substantially less, around $840.
Given that most donor registries are fairly limited operations, piggybacking on drivers' license registration and renewal administration, results suggest that registries are cost-effective. Of course, a complete analysis awaits concrete data on the costs of operating registries and attracting new registrants.
器官捐赠者登记工作面临的一个主要障碍是，任何给定登记者以使其器官适合捐赠的方式死亡的可能性极低。只有在用于招募额外捐赠者的资源与预期收益成比例时，此类政策才有意义。
利用历史捐赠模式数据、潜在捐赠者供应估计以及器官捐赠者货币价值估计，作者计算了登记者对社会的平均价值作为登记时年龄的函数。
在“第一人称同意”制度下，18至34岁登记者的价值为1900美元。登记尚未登记的个人的价值更高，因为这些人更有可能成为捐赠者。如果捐赠者家属有拒绝权，登记者的价值会大幅降低，约为840美元。
鉴于大多数捐赠者登记处的运作相当有限，依附于驾照登记和更新管理，结果表明登记处具有成本效益。当然，完整的分析有待关于登记处运营成本和吸引新登记者的具体数据。
