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The toll of COVID-19 on organ donation and kidney transplantation in Europe: Do legislative defaults matter?

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  • Ugur, Zeynep B
  • Molina Pérez, Alberto

Abstract

This study investigates the cascading effects of COVID-19 pandemic on organ donation and transplantation in Europe. We also check whether legislative defaults for organ donation have a role in these outcomes. For this purpose, we used data from 32 European countries, between 2010 and 2021, and estimated pooled OLS regressions. We find that COVID-19 pandemic reduced deceased organ donation rates by 23.4%, deceased kidney transplantation rates by 27.9% and live kidney transplantation rates by 31.1% after accounting for health system capacity indicators. While our study finds that presumed consent legislation under normal circumstances leads to notable benefits in terms of deceased kidney transplantation and organ donation rates, the legislative defaults did not have a significant impact during the pandemic. Additionally, our findings indicate a trade-off between living and deceased transplantation that is influenced by the legislative default.

Suggested Citation

  • Ugur, Zeynep B & Molina Pérez, Alberto, 2023. "The toll of COVID-19 on organ donation and kidney transplantation in Europe: Do legislative defaults matter?," Health Policy, Elsevier, vol. 136(C).
    • Handle: RePEc:eee:hepoli:v:136:y:2023:i:c:s0168851023001756
    DOI: 10.1016/j.healthpol.2023.104890
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    References listed on IDEAS

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    1. Abadie, Alberto & Gay, Sebastien, 2006. "The impact of presumed consent legislation on cadaveric organ donation: A cross-country study," Journal of Health Economics, Elsevier, vol. 25(4), pages 599-620, July.
    2. Gary S. Becker & Julio Jorge Elías, 2007. "Introducing Incentives in the Market for Live and Cadaveric Organ Donations," Journal of Economic Perspectives, American Economic Association, vol. 21(3), pages 3-24, Summer.
    3. Ugur, Zeynep B., 2021. "Does Self-Control Foster Generosity? Evidence from Ego Depleted Children," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 90(C).
    4. Zeynep Burcu Ugur, 2015. "Does Presumed Consent Save Lives? Evidence from Europe," Health Economics, John Wiley & Sons, Ltd., vol. 24(12), pages 1560-1572, December.
    5. Andreoni, James & Koessler, Ann-Kathrin & Serra-Garcia, Marta, 2018. "Who gives? - The Roles of Empathy and Impulsiveness," EconStor Preprints 183140, ZBW - Leibniz Information Centre for Economics.
    6. Maarten J. Voors & Eleonora E. M. Nillesen & Philip Verwimp & Erwin H. Bulte & Robert Lensink & Daan P. Van Soest, 2012. "Violent Conflict and Behavior: A Field Experiment in Burundi," American Economic Review, American Economic Association, vol. 102(2), pages 941-964, April.
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