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器官分配政策与捐赠决策。

Organ Allocation Policy and the Decision to Donate.

机构信息

Wharton School, University of Pennsylvania, Philadelphia, PA.

Department of Economics and Harvard School of Business, Harvard University, Cambridge, MA.

出版信息

Am Econ Rev. 2012 Aug;102(5):2018-47. doi: 10.1257/aer.102.5.2018.

DOI:10.1257/aer.102.5.2018
PMID:29115804
Abstract

Organ donations from deceased donors provide the majority of transplanted organs in the United States, and one deceased donor can save numerous lives by providing multiple organs. Nevertheless, most Americans are not registered organ donors despite the relative ease of becoming one. We study in the laboratory an experimental game modeled on the decision to register as an organ donor and investigate how changes in the management of organ waiting lists might impact donations. We find that an organ allocation policy giving priority on waiting lists to those who previously registered as donors has a significant positive impact on registration.

摘要

在美国,大多数移植器官都来自已故捐赠者,一位已故捐赠者可以通过提供多个器官来挽救许多生命。然而,尽管成为器官捐赠者相对容易,但大多数美国人并未登记成为器官捐赠者。我们在实验室中研究了一种模拟登记为器官捐赠者决策的实验游戏,并调查器官等待名单管理的变化如何影响捐赠。我们发现,一种将等待名单上的优先权给予之前已登记为捐赠者的器官分配政策,对登记有显著的积极影响。

相似文献

1
Organ Allocation Policy and the Decision to Donate.器官分配政策与捐赠决策。
Am Econ Rev. 2012 Aug;102(5):2018-47. doi: 10.1257/aer.102.5.2018.
2
Incentivizing Organ Donor Registrations with Organ Allocation Priority.通过器官分配优先权激励器官捐献登记
Health Econ. 2017 Apr;26(4):500-510. doi: 10.1002/hec.3328. Epub 2016 Apr 29.
3
Effect of media presentations on willingness to commit to organ donation.媒体宣传对器官捐赠意愿的影响。
Proc Natl Acad Sci U S A. 2017 May 16;114(20):5159-5164. doi: 10.1073/pnas.1703020114. Epub 2017 May 1.
4
Organ Donation Registration and Decision-Making Among Current Blood Donors in the Netherlands.荷兰当前献血者中的器官捐赠登记与决策制定
Prog Transplant. 2017 Sep;27(3):266-272. doi: 10.1177/1526924817715470. Epub 2017 Jul 10.
5
Filling the Organ Donor Pool by Giving Priority.优先分配以充实器官捐献者库
J Health Polit Policy Law. 2020 Feb 1;45(1):49-71. doi: 10.1215/03616878-7893567.
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Community preferences for the allocation of deceased donor organs for transplantation: a focus group study.社区对用于移植的已故供体器官分配的偏好:焦点小组研究。
Nephrol Dial Transplant. 2013 Aug;28(8):2187-93. doi: 10.1093/ndt/gft208. Epub 2013 Jun 5.
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Voluntary reciprocal altruism: a novel strategy to encourage deceased organ donation.自愿互惠利他主义:鼓励遗体器官捐赠的新策略。
Kidney Int. 2006 Mar;69(6):957-9. doi: 10.1038/sj.ki.5000280.
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Decision making on organ donation: the dilemmas of relatives of potential brain dead donors.器官捐赠的决策:潜在脑死亡捐赠者亲属的困境
BMC Med Ethics. 2015 Sep 17;16(1):64. doi: 10.1186/s12910-015-0057-1.
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Organ procurement and mandated choice: an alternative to the existing system.器官获取与强制选择:现有系统的一种替代方案。
Princet J Bioeth. 2000 Spring;3(1):70-80.
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Procurement and allocation policies: should receiving depend on willingness to give?采购与分配政策:接受是否应取决于给予的意愿?
Mt Sinai J Med. 1989 May;56(3):202-6.

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"Reciprocity": Moral Dilemmas Concerning Priority Rules in Organ Allocation.“互惠原则”:器官分配中优先级规则的道德困境
J Bioeth Inq. 2025 Aug 12. doi: 10.1007/s11673-025-10458-z.
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Using Games to Simulate Medication Adherence and Nonadherence: Laboratory Experiment in Gamified Behavioral Simulation.利用游戏模拟药物依从性和不依从性:游戏化行为模拟的实验室实验
JMIR Serious Games. 2024 Sep 24;12:e47141. doi: 10.2196/47141.
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Organ Donation: Behaviour and Beliefs in Sweden.器官捐赠:瑞典的行为与观念
SAGE Open Nurs. 2024 May 24;10:23779608241257011. doi: 10.1177/23779608241257011. eCollection 2024 Jan-Dec.
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'Relative Consent' or 'Presumed Consent'? Organ donation attitudes and behaviour.“相对同意”还是“推定同意”?器官捐献态度和行为。
Eur J Health Econ. 2021 Feb;22(1):5-16. doi: 10.1007/s10198-020-01214-8. Epub 2020 Jul 10.
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When Lone Wolf Defectors Undermine the Power of the Opt-Out Default.当孤狼叛逃者破坏选择退出默认的力量时。
Sci Rep. 2020 Jun 2;10(1):8973. doi: 10.1038/s41598-020-65163-1.
6
An international comparison of deceased and living organ donation/transplant rates in opt-in and opt-out systems: a panel study.选择加入和选择退出系统中 deceased 和 living 器官捐赠/移植率的国际比较:一项面板研究。 (注:这里的“deceased”和“living”在医学语境下可理解为“已故的”和“活体的”,但从纯字面看原英文表述不太准确,可能是特定研究中的特定指代表述。)
BMC Med. 2014 Sep 24;12:131. doi: 10.1186/s12916-014-0131-4.
7
Do Market Incentives Crowd Out Charitable Giving?市场激励是否会挤出慈善捐赠?
J Socio Econ. 2013 Dec;47. doi: 10.1016/j.socec.2013.08.007.
8
Increasing organ donation via changes in the default choice or allocation rule.通过改变默认选择或分配规则来增加器官捐赠。
J Health Econ. 2013 Dec;32(6):1117-29. doi: 10.1016/j.jhealeco.2013.09.007. Epub 2013 Sep 20.