Why do transplant surgeons turn down organs? A model of the accept/reject decision
Why do transplant surgeons turn down organs? A model of the accept/reject decision
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DOI：
10.1016/s0167-6296(02)00077-2
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发表时间：
2002-11-01
影响因子：
3.5
通讯作者：
Howard, DH
中科院分区：
文献类型：
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作者：
Howard, DH
尽管可移植器官稀缺。45%的肝脏被提供给他们的第一个外科医生排斥。我提出了一个模型，在这个模型中，外科医生根据病人目前的健康水平决定接受或拒绝给病人移植器官。通过使用移植患者的数据，我发现外科医生的行为与最佳停止问题的解决方案是一致的，即他们拒绝为相对健康的患者提供低质量的器官，希望他们将来能得到更好的器官。我将根据这一发现讨论器官采购的趋势。(C) 2002年Elsevier Science B.V.出版
Despite the scarcity of transplantable organs. 45% of livers are rejected by the first surgeon to whom they are offered. I present a model in which a surgeon decides to accept or reject an organ for a patient based on the patient's current health level. Using data on transplanted patients, I show that surgeons' behavior is consistent with the solution to an optimal stopping problem in which they reject low quality organs for relatively healthy patients in the hope that they will receive a better organ offer in the future. I discuss trends in organ procurement in light of this finding. (C) 2002 Published by Elsevier Science B.V.