Regulation of Organ Transplantation and Procurement: A Market-Design Lab Experiment

S-Tier
Journal: Journal of Political Economy
Year: 2024
Volume: 132
Issue: 11
Pages: 3827 - 3866

Authors (2)

Alex Chan (not in RePEc) Alvin E. Roth (Stanford University)

Score contribution per author:

4.022 = (α=2.01 / 2 authors) × 4.0x S-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

We conduct a lab experiment that shows that current rules regulating transplant centers (TCs) and organ-procurement organizations (OPOs) create perverse incentives that inefficiently reduce both organ recovery and beneficial transplantations. We model the decision environment with a two-player multiround game between an OPO and a TC. In the condition that simulates current rules, OPOs recover only the highest-quality kidneys and forgo valuable recovery opportunities, and TCs decline some beneficial transplants. Alternative regulations that reward TCs and OPOs together for health outcomes in their entire patient pool lead to behaviors that increase organ recovery and appropriate transplants.

Technical Details

RePEc Handle
repec:ucp:jpolec:doi:10.1086/730546
Journal Field
General
Author Count
2
Added to Database
2026-01-29