IDEAS home Printed from
   My bibliography  Save this paper

Cost-effectiveness of policies Aimed at Increasing Organ Donation, the Case of Chile


  • Javier Dominguez
  • Rodrigo Harrison


Background: In this paper we present an economic evaluation of policies aimed at increasing deceased organ donation in Chile, a developing country that has low donation rates; 5,4 donors per million people (pmp) in 2010. Methods: Expert opinion of leading participants in donation and transplantation were analyzed, resulting in a set of local policies aimed at increasing donation rates. Using previous results of reported cost savings of increasing kidney transplant in Chile, we estimate the net benefits of these policies, as a function of additional donors. Results: The main problem of the Chilean system seems to be the low capability to identify potential donors and a deficit in Intensive Care Unit (ICU) beds. Among considered policies central to increase donation are: an increase in human and capital resources dedicated to identifying potential donors, providing ICU beds from private centres and the development of an online information system that facilitates procurement coordination and the evaluation of performance at each hospital. Our results show that there is a linear relation between cost savings and incremental donors pmp. For example, if these policies are capable of elevating donation rates in Chile by 6 donors pmp net estimated cost savings are approximately US$ 1.9 million. Likewise, considering the effect in patients’ quality of life, savings would amount to around 15.0, million dollars per year. Conclusions: Our estimates suggest that these policies have a large cost-saving potential. In fact, considering implementation costs, cost reduction is positiv0 after 4 additional donors pmp, and increasing afterwards

Suggested Citation

  • Javier Dominguez & Rodrigo Harrison, 2011. "Cost-effectiveness of policies Aimed at Increasing Organ Donation, the Case of Chile," Documentos de Trabajo 383, Instituto de Economia. Pontificia Universidad Católica de Chile..
  • Handle: RePEc:ioe:doctra:383

    Download full text from publisher

    File URL:
    Download Restriction: no

    References listed on IDEAS

    1. Javier Dominguez & Rodrigo Harrison, 2010. "Cost-Benefit Estimation of Cadaveric Kidney Transplantation, the Case of a Developing Country," Documentos de Trabajo 382, Instituto de Economia. Pontificia Universidad Católica de Chile..
    Full references (including those not matched with items on IDEAS)

    More about this item


    Kidney transplantation; economic evaluation; markov models;

    NEP fields

    This paper has been announced in the following NEP Reports:


    Access and download statistics


    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:ioe:doctra:383. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Jaime Casassus). General contact details of provider: .

    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.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with 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.

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

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.