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Organ Donation via Changes in the Default Choice or Allocation Rule

Author

Listed:
  • Zackary Hawley
  • Danyang Li
  • Kurt Schnier

Abstract

The supply of deceased donor organs is a limiting factor for transplantation based therapies. This research utilizes a laboratory experiment to evaluate the effectiveness of alternative public policies targeted at increasing the rate of deceased donor organ donation. The experiment includes treatments across different default choices (opt-in versus opt-out) and organ allocation rules (without versus with priority rule) inspired by the donor registration systems applied in different countries. Furthermore, the experiment includes a controlled treatment to measure the effects of a neutral versus descriptive framing of the decision task. Our results indicate that the opt-out system with priority rule generates the largest increase in organ donation relative to an opt-in only program. However, sizeable gains are achievable using either a priority rule or opt-out program separately, with the opt-out rule generating approximately 80% of the benefits achieved under a priority rule program.

Suggested Citation

  • Zackary Hawley & Danyang Li & Kurt Schnier, 2012. "Organ Donation via Changes in the Default Choice or Allocation Rule," Experimental Economics Center Working Paper Series 2012-15, Experimental Economics Center, Andrew Young School of Policy Studies, Georgia State University.
  • Handle: RePEc:exc:wpaper:2012-15
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    File URL: http://excen.gsu.edu/workingpapers/GSU_EXCEN_WP_2012-15.pdf
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    References listed on IDEAS

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    1. Brigitte C. Madrian & Dennis F. Shea, 2001. "The Power of Suggestion: Inertia in 401(k) Participation and Savings Behavior," The Quarterly Journal of Economics, Oxford University Press, vol. 116(4), pages 1149-1187.
    2. 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.
    3. Samuelson, William & Zeckhauser, Richard, 1988. "Status Quo Bias in Decision Making," Journal of Risk and Uncertainty, Springer, vol. 1(1), pages 7-59, March.
    4. Johnson, Eric J & Hershey, John & Meszaros, Jacqueline & Kunreuther, Howard, 1993. "Framing, Probability Distortions, and Insurance Decisions," Journal of Risk and Uncertainty, Springer, vol. 7(1), pages 35-51, August.
    5. 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.
    Full references (including those not matched with items on IDEAS)

    More about this item

    JEL classification:

    • C91 - Mathematical and Quantitative Methods - - Design of Experiments - - - Laboratory, Individual Behavior
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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