IDEAS home Printed from https://ideas.repec.org/p/nbr/nberwo/27143.html
   My bibliography  Save this paper

Paying It Backward and Forward: Expanding Access to Convalescent Plasma Therapy Through Market Design

Author

Listed:
  • Scott Duke Kominers
  • Parag A. Pathak
  • Tayfun Sönmez
  • M. Utku Ünver

Abstract

COVID-19 convalescent plasma (CCP) therapy is currently a leading treatment for COVID-19. At present, there is a shortage of CCP relative to demand. We develop and analyze a model of centralized CCP allocation that incorporates both donation and distribution. In order to increase CCP supply, we introduce a mechanism that utilizes two incentive schemes, respectively based on principles of “paying it backward” and “paying it forward.” Under the first scheme, CCP donors obtain treatment vouchers that can be transferred to patients of their choosing. Under the latter scheme, patients obtain priority for CCP therapy in exchange for a future pledge to donate CCP if possible. We show that in steady-state, both principles generally increase overall treatment rates for all patients—not just those who are voucher-prioritized or pledged to donate. Our results also hold under certain conditions if a fraction of CCP is reserved for patients who participate in clinical trials. Finally, we examine the implications of pooling blood types on the efficiency and equity of CCP distribution.

Suggested Citation

  • 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," NBER Working Papers 27143, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:27143
    Note: EH IO PE
    as

    Download full text from publisher

    File URL: http://www.nber.org/papers/w27143.pdf
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    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. & Sonmez, Tayfun & Utku Unver, M., 2005. "Pairwise kidney exchange," Journal of Economic Theory, Elsevier, vol. 125(2), pages 151-188, December.
    3. Gary S. Becker & Julio Jorge Elías, 2007. "Introducing Incentives in the Market for Live and Cadaveric Organ Donations," Journal of Economic Perspectives, American Economic Association, vol. 21(3), pages 3-24, Summer.
    4. Alvin E. Roth & Tayfun Sönmez & M. Utku Ünver, 2004. "Kidney Exchange," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 119(2), pages 457-488.
    5. Mohammad Akbarpour & Julien Combe & Yinghua He & Victor Hiller & Robert Shimer & Olivier Tercieux, 2020. "Unpaired Kidney Exchange: Overcoming Double Coincidence of Wants without Money," Post-Print halshs-02973042, HAL.
    6. 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.
    7. Atila Abdulkadiroglu & Yeon-Koo Che & Yosuke Yasuda, 2011. "Resolving Conflicting Preferences in School Choice: The "Boston Mechanism" Reconsidered," American Economic Review, American Economic Association, vol. 101(1), pages 399-410, February.
    8. Satz, Debra, 2012. "Why Some Things Should Not Be for Sale: The Moral Limits of Markets," OUP Catalogue, Oxford University Press, number 9780199892617.
    9. 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.
    10. Yeon-Koo Che & Fuhito Kojima, 2010. "Asymptotic Equivalence of Probabilistic Serial and Random Priority Mechanisms," Econometrica, Econometric Society, vol. 78(5), pages 1625-1672, September.
    11. Tayfun Sönmez & M. Utku Ünver, 2015. "Enhancing the Efficiency of and Equity in Transplant Organ Allocation via Incentivized Exchange," Boston College Working Papers in Economics 868, Boston College Department of Economics.
    12. Mohammad Akbarpour & Shengwu Li & Shayan Oveis Gharan, 2020. "Thickness and Information in Dynamic Matching Markets," Journal of Political Economy, University of Chicago Press, vol. 128(3), pages 783-815.
    13. Eduardo M. Azevedo & Jacob D. Leshno, 2016. "A Supply and Demand Framework for Two-Sided Matching Markets," Journal of Political Economy, University of Chicago Press, vol. 124(5), pages 1235-1268.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Parag Pathak & Govind Persad & Tayfun Sönmez & M Utku Ünver, 2022. "Reserve system design for allocation of scarce medical resources in a pandemic: some perspectives from the field [‘Explicit vs Statistical Targeting in Affirmative Action: Theory and Evidence from ," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 38(4), pages 924-940.
    2. 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.
    3. van de Klundert, Joris & van der Hagen, Liana & Markus, Aniek, 2022. "Eliminating transplant waiting time inequities – With an application to kidney allocation in the USA," European Journal of Operational Research, Elsevier, vol. 297(3), pages 977-985.
    4. Anna Nagurney & Pritha Dutta, 2021. "A Multiclass, Multiproduct Covid-19 Convalescent Plasma Donor Equilibrium Model," SN Operations Research Forum, Springer, vol. 2(3), pages 1-30, September.
    5. Xiang Han & Onur Kesten & M. Utku Ünver, 2021. "Blood Allocation with Replacement Donors: A Theory of Multi-unit Exchange with Compatibility-based Preferences," Boston College Working Papers in Economics 1038, Boston College Department of Economics.
    6. Kim, Jaehong & Li, Mengling & Xu, Menghan, 2021. "Organ donation with vouchers," Journal of Economic Theory, Elsevier, vol. 191(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Tayfun Sönmez & M Utku Ünver, 2017. "Market design for living-donor organ exchanges: an economic policy perspective," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 33(4), pages 676-704.
    2. 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.
    3. Sönmez, Tayfun & Ünver, M. Utku & Yılmaz, Özgür, 2018. "How (not) to integrate blood subtyping technology to kidney exchange," Journal of Economic Theory, Elsevier, vol. 176(C), pages 193-231.
    4. Kim, Jaehong & Li, Mengling & Xu, Menghan, 2021. "Organ donation with vouchers," Journal of Economic Theory, Elsevier, vol. 191(C).
    5. Zhu, Min, 2014. "College admissions in China: A mechanism design perspective," China Economic Review, Elsevier, vol. 30(C), pages 618-631.
    6. Alvin E. Roth, 2009. "What Have We Learned from Market Design?," Innovation Policy and the Economy, University of Chicago Press, vol. 9(1), pages 79-112.
    7. Mohammad Akbarpour & Julien Combe & Yinghua He & Victor Hiller & Robert Shimer & Olivier Tercieux, 2020. "Unpaired Kidney Exchange: Overcoming Double Coincidence of Wants without Money," Post-Print halshs-02973042, HAL.
    8. Nicolò, Antonio & Rodríguez-Álvarez, Carmelo, 2017. "Age-based preferences in paired kidney exchange," Games and Economic Behavior, Elsevier, vol. 102(C), pages 508-524.
    9. Alvin E. Roth, 2007. "Repugnance as a Constraint on Markets," Journal of Economic Perspectives, American Economic Association, vol. 21(3), pages 37-58, Summer.
    10. John Kennes & Daniel Monte & Norovsambuu Tumennasan, 2015. "Dynamic Matching Markets and the Deferred Acceptance Mechanism," Economics Working Papers 2015-23, Department of Economics and Business Economics, Aarhus University.
    11. Slonim, Robert & Wang, Carmen, 2016. "Market Design for Altruistic Supply: Evidence from the Lab," IZA Discussion Papers 9650, Institute of Labor Economics (IZA).
    12. Eames, K.C. & Holder, Patrick & Zambrano, Eduardo, 2017. "Solving the kidney shortage via the creation of kidney donation co-operatives," Journal of Health Economics, Elsevier, vol. 54(C), pages 91-97.
    13. Alvin E. Roth, 2012. "Marketplace Institutions Related to the Timing of Transactions: Reply to Priest," Journal of Labor Economics, University of Chicago Press, vol. 30(2), pages 479-494.
    14. Andersson, Tommy & Kratz, Jörgen, 2016. "Kidney Exchange over the Blood Group Barrier," Working Papers 2016:11, Lund University, Department of Economics, revised 29 Nov 2017.
    15. Harry J. Paarsch & Alberto M. Segre & John P. Roberts & Jeffrey B. Halldorson, 2011. "Competition and Post-Transplant Outcomes in Cadaveric Liver Transplantation under the MELD Scoring System," Carlo Alberto Notebooks 213, Collegio Carlo Alberto.
    16. Alvin Roth, 2008. "Deferred acceptance algorithms: history, theory, practice, and open questions," International Journal of Game Theory, Springer;Game Theory Society, vol. 36(3), pages 537-569, March.
    17. Roth, Alvin E. & Sonmez, Tayfun & Unver, Utku & Delmonico, Francis & Saidman, Susan L., 2014. "Utilizing List Exchange and Non-directed Donation through “Chain” Paired Kidney Donations," MPRA Paper 58246, University Library of Munich, Germany.
    18. , & , E., 2014. "Free riding and participation in large scale, multi-hospital kidney exchange," Theoretical Economics, Econometric Society, vol. 9(3), September.
    19. Committee, Nobel Prize, 2012. "Alvin E. Roth and Lloyd S. Shapley: Stable allocations and the practice of market design," Nobel Prize in Economics documents 2012-1, Nobel Prize Committee.
    20. Alvin E. Roth & Tayfun Sönmez & M. Utku Ünver, 2005. "Efficient Kidney Exchange: Coincidence of Wants in a Structured Market," Boston College Working Papers in Economics 621, Boston College Department of Economics.

    More about this item

    JEL classification:

    • C78 - Mathematical and Quantitative Methods - - Game Theory and Bargaining Theory - - - Bargaining Theory; Matching Theory
    • D47 - Microeconomics - - Market Structure, Pricing, and Design - - - Market Design

    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:nbr:nberwo:27143. 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.

    If CitEc recognized a bibliographic 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.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: the person in charge (email available below). General contact details of provider: https://edirc.repec.org/data/nberrus.html .

    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.