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Comparing the effects of defaults in organ donation systems

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  • van Dalen, Hendrik P.
  • Henkens, Kène

Abstract

The ability of patients in many parts of the world to benefit from transplantation is limited by growing shortages of transplantable organs. The choice architecture of donation systems is said to play a pivotal role in explaining this gap. In this paper we examine the question how different defaults affect the decision to register as organ donor. Three defaults in organ donation systems are compared: mandated choice, presumed consent and explicit consent. Hypothetical choices from a national survey of 2069 respondents in May 2011 in the Netherlands – a country with an explicit consent system – suggests that mandated choice and presumed consent are more effective at generating registered donors than explicit consent.

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Bibliographic Info

Article provided by Elsevier in its journal Social Science & Medicine.

Volume (Year): 106 (2014)
Issue (Month): C ()
Pages: 137-142

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Handle: RePEc:eee:socmed:v:106:y:2014:i:c:p:137-142

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Related research

Keywords: Organ donation; Behavioral economics; Mandatory choice; Explicit consent; Defaults; Netherlands;

References

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  1. Judd B. Kessler & Alvin E. Roth, 2011. "Organ Allocation Policy and the Decision to Donate," NBER Working Papers 17324, National Bureau of Economic Research, Inc.
  2. Stutzer, Alois & Götte, Lorenz & Zehnder, Michael, 2006. "Active Decisions and Pro-social Behavior: A Field Experiment on Blood Donation," IZA Discussion Papers 2064, Institute for the Study of Labor (IZA).
  3. Luce, Mary Frances, 1998. " Choosing to Avoid: Coping with Negatively Emotion-Laden Consumer Decisions," Journal of Consumer Research, University of Chicago Press, vol. 24(4), pages 409-33, March.
  4. Daniel Kahneman, 2003. "Maps of Bounded Rationality: Psychology for Behavioral Economics," American Economic Review, American Economic Association, vol. 93(5), pages 1449-1475, December.
  5. Abadie, Alberto & Gay, Sebastien, 2004. "The Impact of Presumed Consent Legislation on Cadaveric Organ Donation: A Cross Country Study," Working Paper Series rwp04-024, Harvard University, John F. Kennedy School of Government.
  6. James J. Choi & David Laibson & Brigitte C. Madrian & Andrew Metrick, 2003. "Optimal Defaults," American Economic Review, American Economic Association, vol. 93(2), pages 180-185, May.
  7. Mocan, Naci & Tekin, Erdal, 2007. "The determinants of the willingness to donate an organ among young adults: Evidence from the United States and the European Union," Social Science & Medicine, Elsevier, vol. 65(12), pages 2527-2538, December.
  8. Roth, Alvin E. & Leider, Stephen, 2010. "Kidneys For Sale: Who Disapproves, and Why?," Scholarly Articles 5128483, Harvard University Department of Economics.
  9. David H. Howard, 2007. "Producing Organ Donors," Journal of Economic Perspectives, American Economic Association, vol. 21(3), pages 25-36, Summer.
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