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首页> 外文期刊>Journal of health economics >The impact of presumed consent legislation on cadaveric organ donation: A cross-country study
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The impact of presumed consent legislation on cadaveric organ donation: A cross-country study

机译：假定同意立法对尸体器官捐赠的影响：一项跨国研究

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摘要

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.
机译：在美国，英国和许多其他国家，尽管政府和卫生机构为促进捐助者注册做出了努力，但移植人体器官的需求与供应之间的差距仍在扩大。但是，在欧洲大陆的某些国家，尸体器官的采购是基于假定同意的原则。根据推定的同意立法，死者在没有明确反对死亡前捐赠的情况下被分类为潜在捐赠者。本文分析了假定同意法对捐赠率的影响。为此，我们构建了一个有关器官捐赠率和可能影响十年内22个国家的器官捐赠的潜在因素的数据集。我们发现，尽管其他器官捐赠决定因素的差异可以解释捐赠率的许多变化，但在控制了这些决定因素之后，假定的同意立法对器官捐赠率产生了积极而可观的影响。我们使用数据集的面板结构来检验和否定以下假设：器官测验率的无法衡量的决定因素混淆了我们的经验结果。

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