Click it or give it: Increased seat belt law enforcement and organ donation
Click it or give it: Increased seat belt law enforcement and organ donation
复制标题
DOI：
10.1002/hec.4140
复制
发表时间：
2020-08-03
期刊：
影响因子：
2.1
通讯作者：
Brewer, Ben
中科院分区：
文献类型：
--
作者：
Brewer, Ben
法律规定个人系安全带的假定目标是减少机动车事故死亡人数，但普遍的观点是，他们可能会减少可用器官的数量。我提供了一个概念模型，确定法律可以增加或减少器官捐赠的机制。利用各州和时间的变化，在通过主要安全带执法，我调查这些机制，并估计器官供应的法律的影响。该法律增加了安全带的使用，减少了机动车事故死亡人数，这意味着基于机动车事故的器官捐献者数量大幅减少。相比之下，该法律与非机动车事故来源的器官捐赠者数量的变化无关，并且对于控制医院特定影响具有鲁棒性。这些影响集中在预计受安全带负面影响最大的器官内。虽然初级执法在挽救生命方面为社会带来了净收益，但对器官捐赠的负面影响表明，应进一步强调旨在增加器官供应的政策。
Laws mandating that individuals wear a seat belt have the presumed goal of reducing motor vehicle accident fatalities, but the prevailing view is that they may reduce the number of organs available. I provide a conceptual model identifying mechanisms whereby the law could eitherincrease or decreaseorgan donation. Exploiting variation across states and time in the adoption of primary seat belt enforcement, I investigate these mechanisms and estimate the effect of the law on the supply of organs. The law increases seat belt usage and decreases motor vehicle accident fatalities, which translates to a sizeable reduction in the number of motor vehicle accident-based organ donors. In contrast, the law is not associated with changes in the number of organ donors from nonmotor vehicle accident-based sources and is robust to controlling for hospital-specific effects. The effects are concentrated within organs expected to be most negatively impacted by the seat belt. Although primary enforcement represents a net-gain to society in terms of lives saved, the negative impact on organ donation suggests further emphasis be placed on policies aimed at increasing the availability of organs.