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Prioritized organ allocation rules under compatibility constraints

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  • Li, Mengling
  • Riyanto, Yohanes E.
  • Xu, Menghan

Abstract

We study the efficacy of the donor-priority rule in promoting deceased organ donation under blood-type compatibility constraints in both theory and the laboratory. Compared with an allocation policy in which transplantations are performed only within the same blood-type group, we find that transferring organs across blood-type compatible groups discourages the donation incentives of hard-to-match agents and reduces the supply of the more widely acceptable type of organ. Meanwhile, the easy-to-match agents have higher incentives to donate. At the aggregate level, both our theoretical and experimental results suggest that the aggregate donation rate is lower under allocation policies that allow blood-type compatible transplants among different blood-type groups.

Suggested Citation

  • Li, Mengling & Riyanto, Yohanes E. & Xu, Menghan, 2023. "Prioritized organ allocation rules under compatibility constraints," Games and Economic Behavior, Elsevier, vol. 141(C), pages 403-427.
  • Handle: RePEc:eee:gamebe:v:141:y:2023:i:c:p:403-427
    DOI: 10.1016/j.geb.2023.07.005
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    1. Tayfun Sönmez & Alvin E. Roth & M. Utku Ünver, 2007. "Efficient Kidney Exchange: Coincidence of Wants in Markets with Compatibility-Based Preferences," American Economic Review, American Economic Association, vol. 97(3), pages 828-851, June.
    2. Roth, Alvin E. & Leider, Stephen, 2010. "Kidneys For Sale: Who Disapproves, and Why?," Scholarly Articles 5128483, Harvard University Department of Economics.
    3. Andreoni, James, 1988. "Why free ride? : Strategies and learning in public goods experiments," Journal of Public Economics, Elsevier, vol. 37(3), pages 291-304, December.
    4. Herr, Annika & Normann, Hans-Theo, 2016. "Organ donation in the lab: Preferences and votes on the priority rule," Journal of Economic Behavior & Organization, Elsevier, vol. 131(PB), pages 139-149.
    5. Nan Kong & Andrew J. Schaefer & Brady Hunsaker & Mark S. Roberts, 2010. "Maximizing the Efficiency of the U.S. Liver Allocation System Through Region Design," Management Science, INFORMS, vol. 56(12), pages 2111-2122, December.
    6. Kim, Jaehong & Li, Mengling, 2022. "Optimal organ allocation policy under blood-type barriers with the donor-priority rule," Theoretical Economics, Econometric Society, vol. 17(1), January.
    7. Xuanming Su & Stefanos Zenios, 2004. "Patient Choice in Kidney Allocation: The Role of the Queueing Discipline," Manufacturing & Service Operations Management, INFORMS, vol. 6(4), pages 280-301, June.
    8. Sait Tunç & Burhaneddin Sandıkçı & Bekir Tanrıöver, 2022. "A Simple Incentive Mechanism to Alleviate the Burden of Organ Wastage in Transplantation," Management Science, INFORMS, vol. 68(8), pages 5980-6002, August.
    9. Avraham Stoler & Judd B. Kessler & Tamar Ashkenazi & Alvin E. Roth & Jacob Lavee, 2017. "Incentivizing Organ Donor Registrations with Organ Allocation Priority," Health Economics, John Wiley & Sons, Ltd., vol. 26(4), pages 500-510, April.
    10. Alvin E. Roth & Tayfun Sönmez, 2005. "A Kidney Exchange Clearinghouse in New England," American Economic Review, American Economic Association, vol. 95(2), pages 376-380, May.
    11. Tommy Andersson & Jörgen Kratz, 2020. "Pairwise Kidney Exchange over the Blood Group Barrier," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 87(3), pages 1091-1133.
    12. Tayfun Sönmez & M. Bumin Yenmez, 2022. "Affirmative Action in India via Vertical, Horizontal, and Overlapping Reservations," Econometrica, Econometric Society, vol. 90(3), pages 1143-1176, May.
    13. Tinglong Dai & Ronghuo Zheng & Katia Sycara, 2020. "Jumping the Line, Charitably: Analysis and Remedy of Donor-Priority Rule," Management Science, INFORMS, vol. 66(2), pages 622-641, February.
    14. Alvin E. Roth, 2007. "Repugnance as a Constraint on Markets," Journal of Economic Perspectives, American Economic Association, vol. 21(3), pages 37-58, Summer.
    15. Xuanming Su & Stefanos A. Zenios, 2006. "Recipient Choice Can Address the Efficiency-Equity Trade-off in Kidney Transplantation: A Mechanism Design Model," Management Science, INFORMS, vol. 52(11), pages 1647-1660, November.
    16. Dimitris Bertsimas & Vivek F. Farias & Nikolaos Trichakis, 2013. "Fairness, Efficiency, and Flexibility in Organ Allocation for Kidney Transplantation," Operations Research, INFORMS, vol. 61(1), pages 73-87, February.
    17. Todd Sandler & John Tschirhart, 1997. "Club theory: Thirty years later," Public Choice, Springer, vol. 93(3), pages 335-355, December.
    18. Kim, Jaehong & Li, Mengling & Xu, Menghan, 2021. "Organ donation with vouchers," Journal of Economic Theory, Elsevier, vol. 191(C).
    19. Li, Danyang & Hawley, Zackary & Schnier, Kurt, 2013. "Increasing organ donation via changes in the default choice or allocation rule," Journal of Health Economics, Elsevier, vol. 32(6), pages 1117-1129.
    20. Smith, Vernon L, 1976. "Experimental Economics: Induced Value Theory," American Economic Review, American Economic Association, vol. 66(2), pages 274-279, May.
    21. Urs Fischbacher, 2007. "z-Tree: Zurich toolbox for ready-made economic experiments," Experimental Economics, Springer;Economic Science Association, vol. 10(2), pages 171-178, June.
    22. Kessler, Judd B. & Roth, Alvin E., 2014. "Loopholes undermine donation: An experiment motivated by an organ donation priority loophole in Israel," Journal of Public Economics, Elsevier, vol. 114(C), pages 19-28.
    23. Tayfun Sönmez & M. Utku Ünver & M. Bumin Yenmez, 2020. "Incentivized Kidney Exchange," American Economic Review, American Economic Association, vol. 110(7), pages 2198-2224, July.
    24. Nikhil Agarwal & Itai Ashlagi & Michael A. Rees & Paulo Somaini & Daniel Waldinger, 2021. "Equilibrium Allocations Under Alternative Waitlist Designs: Evidence From Deceased Donor Kidneys," Econometrica, Econometric Society, vol. 89(1), pages 37-76, January.
    25. Itai Ashlagi & Maximilien Burq & Patrick Jaillet & Vahideh Manshadi, 2019. "On Matching and Thickness in Heterogeneous Dynamic Markets," Operations Research, INFORMS, vol. 67(4), pages 927-949, July.
    26. Haluk Ergin & Tayfun Sönmez & M. Utku Ünver, 2017. "Dual‐Donor Organ Exchange," Econometrica, Econometric Society, vol. 85, pages 1645-1671, September.
    27. Parag A. Pathak & Tayfun Sönmez & M. Utku Unver & M. Bumin Yenmez, 2020. "Leaving No Ethical Value Behind: Triage Protocol Design for Pandemic Rationing," NBER Working Papers 26951, National Bureau of Economic Research, Inc.
    28. Judd B. Kessler & Alvin E. Roth, 2012. "Organ Allocation Policy and the Decision to Donate," American Economic Review, American Economic Association, vol. 102(5), pages 2018-2047, August.
    29. Perlman, Yael & Elalouf, Amir & Yechiali, Uri, 2018. "Dynamic allocation of stochastically-arriving flexible resources to random streams of objects with application to kidney cross-transplantation," European Journal of Operational Research, Elsevier, vol. 265(1), pages 169-177.
    30. Ananish Chaudhuri, 2011. "Sustaining cooperation in laboratory public goods experiments: a selective survey of the literature," Experimental Economics, Springer;Economic Science Association, vol. 14(1), pages 47-83, March.
    31. Scott Duke Kominers & Parag A. Pathak & Tayfun Sönmez & M. Utku Ünver, 2020. "Paying It Backward and Forward: Expanding Access to Convalescent Plasma Therapy Through Market Design," Boston College Working Papers in Economics 1007, Boston College Department of Economics.
    32. Parag A. Pathak & Alex Rees-Jones & Tayfun Sönmez, 2020. "Immigration Lottery Design: Engineered and Coincidental Consequences of H-1B Reforms," NBER Working Papers 26767, National Bureau of Economic Research, Inc.
    33. Eun Jeong Heo & Sunghoon Hong & Youngsub Chun, 2021. "Kidney exchange with immunosuppressants," Economic Theory, Springer;Society for the Advancement of Economic Theory (SAET), vol. 72(1), pages 1-19, July.
    34. Christian Ewerhart, 2013. "Regular type distributions in mechanism design and $$\rho $$ -concavity," Economic Theory, Springer;Society for the Advancement of Economic Theory (SAET), vol. 53(3), pages 591-603, August.
    35. R. Jean Ruth & Leon Wyszewianski & Gary Herline, 1985. "Kidney Transplantation: A Simulation Model for Examining Demand and Supply," Management Science, INFORMS, vol. 31(5), pages 515-526, May.
    36. Dur, Umut & Pathak, Parag A. & Sönmez, Tayfun, 2020. "Explicit vs. statistical targeting in affirmative action: Theory and evidence from Chicago's exam schools," Journal of Economic Theory, Elsevier, vol. 187(C).
    37. Umut Dur & Scott Duke Kominers & Parag A. Pathak & Tayfun Sönmez, 2018. "Reserve Design: Unintended Consequences and the Demise of Boston’s Walk Zones," Journal of Political Economy, University of Chicago Press, vol. 126(6), pages 2457-2479.
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    More about this item

    Keywords

    Market design; Organ donation; Priority rule; Laboratory experiment; Compatibility constraint;
    All these keywords.

    JEL classification:

    • C91 - Mathematical and Quantitative Methods - - Design of Experiments - - - Laboratory, Individual Behavior
    • D47 - Microeconomics - - Market Structure, Pricing, and Design - - - Market Design
    • D64 - Microeconomics - - Welfare Economics - - - Altruism; Philanthropy; Intergenerational Transfers
    • D78 - Microeconomics - - Analysis of Collective Decision-Making - - - Positive Analysis of Policy Formulation and Implementation
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets

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