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The effectiveness of transplant legislation, procedures and management: Cross-country evidence

  • Bilgel, Fırat

This article investigates the impact of legal determinants of cadaveric and living donor organ transplantation rates using panel data on legislative, procedural and managerial aspects of organ transplantation and procurement, government health expenditures, enrollment rates, religious beliefs, legal systems and civil rights and liberties for 62 countries over a 2-year period. Under living donor organ transplantation, we found that guaranteeing traceability of organs by law or performing psychiatric evaluation to living donors has a sizeable, negative impact on living transplant rates once the remaining determinants of living transplantation have been controlled for. Under cadaveric transplantation, our findings do not suggest an unequivocal and positive association between presumed consent, donor registries and cadaveric transplant rates. However, legally requiring family consent or maintaining written procurement standards for deceased donors has a sizeable, negative impact on cadaveric transplant rates. The latter finding suggests that informing families rather than asking for consent may be an effective strategy to raise procurement rates while respecting patient autonomy. Finally, we confirm that predominantly non-Christian countries have significantly higher living but lower cadaveric transplant rates.

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Article provided by Elsevier in its journal Health Policy.

Volume (Year): 110 (2013)
Issue (Month): 2 ()
Pages: 229-242

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Handle: RePEc:eee:hepoli:v:110:y:2013:i:2:p:229-242
Contact details of provider: Web page: http://www.elsevier.com/locate/healthpol

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  1. Alvin E. Roth & Tayfun Sonmez & M. Utku Unver, 2004. "Pairwise Kidney Exchange," NBER Working Papers 10698, National Bureau of Economic Research, Inc.
  2. repec:mpr:mprres:6869 is not listed on IDEAS
  3. Byrne, Margaret M. & Thompson, Peter, 2001. "A positive analysis of financial incentives for cadaveric organ donation," Journal of Health Economics, Elsevier, vol. 20(1), pages 69-83, January.
  4. Alberto Abadie & Sebastien Gay, 2004. "The Impact of Presumed Consent Legislation on Cadaveric Organ Donation: A Cross Country Study," NBER Working Papers 10604, National Bureau of Economic Research, Inc.
  5. Fırat Bilgel, 2012. "The impact of presumed consent laws and institutions on deceased organ donation," The European Journal of Health Economics, Springer, vol. 13(1), pages 29-38, February.
  6. repec:ebl:ecbull:v:30:y:2010:i:1:p:10-19 is not listed on IDEAS
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