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推定同意能挽救生命吗?来自欧洲的证据。

Does Presumed Consent Save Lives? Evidence from Europe.

作者信息

Ugur Zeynep Burcu

机构信息

Department of Economics, Tilburg University, Tilburg, Netherlands.

出版信息

Health Econ. 2015 Dec;24(12):1560-72. doi: 10.1002/hec.3111. Epub 2014 Oct 2.

DOI:10.1002/hec.3111
PMID:25273232
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.

摘要

一项可能影响器官捐赠率的政策工具是立法默认规则。在本研究中,我们利用2000年至2010年期间欧盟27国加克罗地亚的面板数据集,研究了推定同意如何影响尸体捐赠和肾脏移植。在考虑了潜在的混杂因素后,我们发现,与知情同意国家相比,推定同意国家的尸体捐赠率高出28%至32%,肾脏移植率高出27%至31%。在研究了捐赠器官的意愿并登记了器官捐赠偏好后,我们发现推定同意可以提高尸体捐赠率,因为人们没有登记他们的偏好,而且许多人对器官捐赠没有偏好。

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引用本文的文献

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Changing the method of consent to increase the numbers of cadaveric donors in Saudi Arabia: the autonomy paradox.改变沙特阿拉伯尸体捐赠者同意方式以增加捐赠数量:自主性悖论
F1000Res. 2023 Jun 27;11:53. doi: 10.12688/f1000research.75994.3. eCollection 2022.
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Does implementing opt-out solve the organ shortage problem? Evidence from a synthetic control approach.实施默认退出机制能否解决器官短缺问题?来自合成控制法的证据。
Eur J Health Econ. 2025 Jun;26(4):541-560. doi: 10.1007/s10198-024-01716-9. Epub 2024 Sep 20.
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Differential impact of opt-in, opt-out policies on deceased organ donation rates: a mixed conceptual and empirical study.
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Cost-Effectiveness and Budget Impact Analysis of Implementing a 'Soft Opt-Out' System for Kidney Donation in Australia.在澳大利亚实施“软性自愿选择”肾脏捐献系统的成本效益和预算影响分析。
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A Multiethnic Asian Perspective of Presumed Consent for Organ Donation: A Population-Based Perception Study.多族群亚洲人对器官捐赠假定同意的看法:基于人口的认知研究。
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