Allocating Scarce Organs: How a Change in Supply Affects Transplant Waiting Lists and Transplant Recipients

• 成果类型: Article
• 署名作者: Dickert-Conlin, Stacy; Elder, Todd; Teltser, Keith
• 署名单位: Michigan State University; University System of Georgia; Georgia State University
• 刊物名称: AMERICAN ECONOMIC JOURNAL-APPLIED ECONOMICS
• ISSN/ISSBN: 1945-7782
• DOI: 10.1257/app.20170476
• 发表日期: 2019
• 页码: 210-239
• 关键词: motorcycle helmet laws; consent legislation; Donation; COMPETITION; MARKET; live

摘要

Vast organ shortages motivated recent efforts to increase the supply of transplantable organs, but we know little about the demand side of the market. We test the implications of a model of organ demand using the universe of US transplant data from 1987 to 2013. Exploiting variation in supply induced by state-level motorcycle helmet laws, we demonstrate that each organ that becomes available from a deceased donor in a particular region induces five transplant candidates to join that region's transplant wait list, while crowding out living-donor transplants. Even with the corresponding demand increase, positive supply shocks increase post-transplant survival rates.