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来源类型Working Paper
规范类型报告
DOI10.3386/w25607
来源IDWorking Paper 25607
Equilibrium Allocations under Alternative Waitlist Designs: Evidence from Deceased Donor Kidneys
Nikhil Agarwal; Itai Ashlagi; Michael A. Rees; Paulo J. Somaini; Daniel C. Waldinger
发表日期2019-03-04
出版年2019
语种英语
摘要Waitlists are often used to ration scarce resources, but the trade-offs in designing these mechanisms depend on agents preferences. We study equilibrium allocations under alternative designs for the deceased donor kidney waitlist. We model the decision to accept an organ or wait for a preferable one as an optimal stopping problem and estimate preferences using administrative data from the New York City area. Our estimates show that while some kidney types are desirable for all patients, there is substantial match-specific heterogeneity in values. We then develop methods to evaluate alternative mechanisms, comparing their effects on patient welfare to an equivalent change in donor supply. Past reforms to the kidney waitlist primarily resulted in redistribution, with similar welfare and organ discard rates to the benchmark first come first served mechanism. These mechanisms and other commonly studied theoretical benchmarks remain far from optimal. We design a mechanism that increases patient welfare by the equivalent of an 18.2 percent increase in donor supply.
主题Econometrics ; Estimation Methods ; Microeconomics ; Market Structure and Distribution ; Health, Education, and Welfare ; Health
URLhttps://www.nber.org/papers/w25607
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/583281
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Nikhil Agarwal,Itai Ashlagi,Michael A. Rees,et al. Equilibrium Allocations under Alternative Waitlist Designs: Evidence from Deceased Donor Kidneys. 2019.
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