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Title: The Effect of Broader Liver Sharing on Patient Outcomes and Offer Acceptance

Citation Type: Miscellaneous

Publication Year: 2019

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Abstract: Liver allocation policies and strategic offer-acceptance decisions determine who ulti- mately receives liver transplants. For transplant candidates with greater medical need, the Share 35 policy provides priority for livers obtained from areas further away. This paper examines the policy effect on transplant outcomes and the decision to accept or decline a liver offer. First, I find that increasing access to liver transplants effectively reduces mortality risks before receiving transplants, which is the goal of the policy. Second, I find a mixed effect on the quality of transplanted livers for targeted candi- dates. Although livers travel further that implies lower liver quality, those candidates receive livers with better donor characteristics. This compensation on liver quality can be explained by the change in offer-acceptance incentives. Greater access to liver offers enables targeted candidates to be more selective of offered livers.

Url: http://econ.msu.edu/seminars/docs/choi_fowler.pdf

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Authors: Choi, Yeon

Publisher: Minneapolis Medical Research Foundation

Data Collections: IPUMS USA

Topics: Other

Countries: United States