Public and Private Choices in Organ Donation
Public and Private Choices in Organ Donation
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器官捐赠的公共和私人选择
DOI：
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发表时间：
2007
期刊：
影响因子：
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通讯作者：
Marlies Ahlert
中科院分区：
文献类型：
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作者：
Marlies Ahlert
器官捐赠和分配是提供保健服务的一个特别有指导意义的案例。一方面，由于资源集中的必要性，有明显的集体好方面。另一方面，有一个强有力的道德案例支持纯私人组织的尸体器官捐赠，并在私人俱乐部分配。但是这样的俱乐部能成功吗？利用标准期望效用理论和前景理论，建立了个体在不同器官捐献分配制度下的决策模型。得出了平衡俱乐部规模的结论。利用器官移植频率的经验数据和捐赠意愿问卷调查的结果，得出一些关于不同机构形式的器官分配可能成功或失败的结论。
Organ donation and allocation form a particularly instructive case of health care provision. On the one hand, due to the necessity of resource pooling, there is a clear collective good aspect. On the other hand, there is a strong moral case in favor of purely private organization of cadaveric organ donation, and allocation in private clubs. But can such clubs ever be successful? Simple decision theoretic modeling relying on both, standard expected utility theory and prospect theory is applied to model the decision making of individuals under different institutions of organ donation and allocation. Conclusions on an equilibrium club size are derived. Empirical data on frequencies of organ transplantation and results from questionnaires on the willingness to donate are used to derive some conclusions about the likely success or failure of different institutional forms of organ allocation.