The impact of presumed consent legislation on cadaveric organ donation: A cross-country study
The impact of presumed consent legislation on cadaveric organ donation: A cross-country study
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DOI：
10.1016/j.jhealeco.2006.01.003
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发表时间：
2006-07-01
影响因子：
3.5
通讯作者：
Gay, Sebastien
中科院分区：
文献类型：
--
作者：
Abadie, Alberto;Gay, Sebastien
在美国，在英国和许多其他国家，尽管政府和卫生机构努力促进捐赠者登记，但用于移植的人体器官的需求和供应之间的差距仍在上升。然而，在欧洲大陆的一些国家，尸体器官采购是基于推定同意原则。根据推定同意立法，如果死者生前没有明确反对捐赠，则被列为潜在捐赠者。本文分析了推定同意法对捐赠率的影响。为此，我们构建了一个关于22个国家10年内器官捐献率和影响器官捐献的潜在因素的数据集。我们发现，虽然在器官捐献的其他决定因素的差异解释了捐赠率的变化，控制这些决定因素后，推定同意立法对器官捐献率有积极的和相当大的影响。我们使用我们的数据集的面板结构来测试和拒绝器官捐献率的未测量的决定因素混淆我们的实证结果的假设。(c)2006 Elsevier B.V.保留所有权利。
In the U.S., Great Britain and in many other countries, the gap between the demand and the supply of human organs for transplantation is on the rise, despite the efforts of governments and health agencies to promote donor registration. In some countries of continental Europe, however, cadaveric organ procurement is based on the principle of presumed consent. Under presumed consent legislation, a deceased individual is classified as a potential donor in absence of explicit opposition to donation before death. This article analyzes the impact of presumed consent laws on donation rates. For this purpose, we construct a dataset on organ donation rates and potential factors affecting organ donation for 22 countries over a 10-year period. We find that while differences in other determinants of organ donation explain much of the variation in donation rates, after controlling for those determinants presumed consent legislation has a positive and sizeable effect on organ donation rates. We use the panel structure of our dataset to test and reject the hypothesis that unmeasured determinants of organ donation rates confound our empirical results. (c) 2006 Elsevier B.V. All rights reserved.