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Optimal production of transplant care services


  • Bruno Deffains
  • Jean Mercier Ythier


Most organ transplants are from dead donors. National transplant organizations exhibit considerable differences in terms of their donor population rates. Spain’s organization is by far the most efficient in this respect. We argue that much of the productivity advantage of Spain’s transplant organization proceeds from an efficient organization of the production chain, from organ procurement to transplantation. Transplant inputs from dead donors are analogous to a common resource for the transplant community. Their circulation through the national transplant organization creates public good externalities between the care units in charge of organ extraction and those in charge of transplantation. It is shown that a socially efficient production of transplant services requires an optimal control of both the production and the circulation of transplant inputs by the institutions of the transplant system.

Suggested Citation

  • Bruno Deffains & Jean Mercier Ythier, 2009. "Optimal production of transplant care services," Working Papers of BETA 2009-19, Bureau d'Economie Théorique et Appliquée, UDS, Strasbourg.
  • Handle: RePEc:ulp:sbbeta:2009-19

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    References listed on IDEAS

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    More about this item


    organ transplants; donation; public goods; production organization.;

    JEL classification:

    • H41 - Public Economics - - Publicly Provided Goods - - - Public Goods
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H57 - Public Economics - - National Government Expenditures and Related Policies - - - Procurement
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • K11 - Law and Economics - - Basic Areas of Law - - - Property Law
    • K23 - Law and Economics - - Regulation and Business Law - - - Regulated Industries and Administrative Law
    • L23 - Industrial Organization - - Firm Objectives, Organization, and Behavior - - - Organization of Production
    • L38 - Industrial Organization - - Nonprofit Organizations and Public Enterprise - - - Public Policy
    • L53 - Industrial Organization - - Regulation and Industrial Policy - - - Enterprise Policy

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