IDEAS home Printed from https://ideas.repec.org/a/spr/cejnor/v33y2025i4d10.1007_s10100-024-00933-0.html
   My bibliography  Save this article

Designing a kidney exchange program in Germany: simulations and recommendations

Author

Listed:
  • Itai Ashlagi

    (Stanford University)

  • Ágnes Cseh

    (University of Bayreuth)

  • David Manlove

    (University of Glasgow)

  • Axel Ockenfels

    (University of Cologne
    Max Planck Institute for Research on Collective Goods)

  • William Pettersson

    (University of Glasgow)

Abstract

We examine some of the opportunities and challenges concerned with establishing a centralized national kidney exchange program in Germany. Despite the many advantages of a national program, without deliberate design and policy intervention, a fragmented kidney exchange program may emerge. We study a number of collaboration strategies, and resulting simulations suggest that transplant centers may find it advantageous not to fully participate, resulting in a net reduction in the number of transplants. These results also suggest that allowing more forms of kidney exchange, such as three-way exchanges and non-directed donations, can significantly increase the number of transplants while making participation in a national program more attractive and thus national coordination and cooperation more robust. We propose a multi-level policy approach that is easy to implement and would promote an efficient German kidney exchange program that benefits recipients, donors and hospitals.

Suggested Citation

  • Itai Ashlagi & Ágnes Cseh & David Manlove & Axel Ockenfels & William Pettersson, 2025. "Designing a kidney exchange program in Germany: simulations and recommendations," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 33(4), pages 1529-1555, December.
    • Handle: RePEc:spr:cejnor:v:33:y:2025:i:4:d:10.1007_s10100-024-00933-0
    DOI: 10.1007/s10100-024-00933-0
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s10100-024-00933-0
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s10100-024-00933-0?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to

    for a different version of it.

    More about this item

    Keywords

    ;
    ;
    ;

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:cejnor:v:33:y:2025:i:4:d:10.1007_s10100-024-00933-0. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.