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Public Perceptions of the Importance of Prognosis in Allocating Transplantable Livers to Children

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  • Peter A. Ubel
  • George Loewenstein

Abstract

Background. The system to allocate scarce transplantable livers has been criticized for not giving enough weight to the prognoses of the patients receiving the transplants, but little research has been done looking at how the public weights the relative impor tances of efficacy and equity in distributing the organs. Methods. This study was an experimental survey of prospective jurors asked to distribute transplantable livers among transplant candidates grouped according to their prognoses. The relative prog noses of the transplant candidates were varied across survey versions. Results. As the prognostic difference between transplant groups increased, the subjects became less likely to distribute the organs equally between them (p

Suggested Citation

  • Peter A. Ubel & George Loewenstein, 1996. "Public Perceptions of the Importance of Prognosis in Allocating Transplantable Livers to Children," Medical Decision Making, , vol. 16(3), pages 234-241, August.
    • Handle: RePEc:sae:medema:v:16:y:1996:i:3:p:234-241
    DOI: 10.1177/0272989X9601600307
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    References listed on IDEAS

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    1. Elster,Jon & Roemer,John E. (ed.), 1993. "Interpersonal Comparisons of Well-Being," Cambridge Books, Cambridge University Press, number 9780521457224.
    2. Nord, Erik, 1993. "The trade-off between severity of illness and treatment effect in cost-value analysis of health care," Health Policy, Elsevier, vol. 24(3), pages 227-238, August.
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    4. Annas, G.J., 1985. "The prostitute, the playboy, and the poet: Rationing schemes for organ transplantation," American Journal of Public Health, American Public Health Association, vol. 75(2), pages 187-189.
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    3. Collewet, Marion & Koster, Paul, 2023. "Preference estimation from point allocation experiments," Journal of choice modelling, Elsevier, vol. 48(C).
    4. Richardson, Jeff & McKie, John, 2007. "Economic evaluation of services for a National Health Scheme: The case for a fairness-based framework," Journal of Health Economics, Elsevier, vol. 26(4), pages 785-799, July.

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