Comparing the effects of defaults in organ donation systems
The ability of patients in many parts of the world to benefit from transplantation is limited by growing shortages of transplantable organs. The choice architecture of donation systems is said to play a pivotal role in explaining this gap. In this paper we examine the question how different defaults...
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| Veröffentlicht in: | Social science & medicine (1982) 2014-04, Vol.106, p.137-142 |
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| container_title | Social science & medicine (1982) |
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| creator | van Dalen, Hendrik P. Henkens, Kène |
| description | The ability of patients in many parts of the world to benefit from transplantation is limited by growing shortages of transplantable organs. The choice architecture of donation systems is said to play a pivotal role in explaining this gap. In this paper we examine the question how different defaults affect the decision to register as organ donor. Three defaults in organ donation systems are compared: mandated choice, presumed consent and explicit consent. Hypothetical choices from a national survey of 2069 respondents in May 2011 in the Netherlands – a country with an explicit consent system – suggests that mandated choice and presumed consent are more effective at generating registered donors than explicit consent.
•Survey results for the Netherlands reveal that defaults matter in organ donation systems.•Alternative default settings are confronted with the existing system of explicit consent.•Mandated choice and presumed consent are more effective in generating donors than explicit consent. |
| doi_str_mv | 10.1016/j.socscimed.2014.01.052 |
| format | Article |
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•Survey results for the Netherlands reveal that defaults matter in organ donation systems.•Alternative default settings are confronted with the existing system of explicit consent.•Mandated choice and presumed consent are more effective in generating donors than explicit consent.</description><identifier>ISSN: 0277-9536</identifier><identifier>EISSN: 1873-5347</identifier><identifier>DOI: 10.1016/j.socscimed.2014.01.052</identifier><identifier>PMID: 24561775</identifier><identifier>CODEN: SSMDEP</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject><![CDATA[Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Architecture ; Behavioral economics ; Biological and medical sciences ; Blood & organ donations ; Choice Behavior ; Choices ; Clinical death. Palliative care. Organ gift and preservation ; Comparative analysis ; Data Collection ; Decision making ; Decisions ; Defaults ; Explicit consent ; Humans ; Informed Consent - legislation & jurisprudence ; Mandatory choice ; Medical sciences ; Miscellaneous ; Netherlands ; Organ Donation ; Organs ; Patients ; Presumed Consent - legislation & jurisprudence ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Registries ; Scarcity ; Tissue and Organ Procurement - legislation & jurisprudence ; Tissue Donors - psychology ; Tissue Donors - supply & distribution ; Transplants ; Transplants & implants]]></subject><ispartof>Social science & medicine (1982), 2014-04, Vol.106, p.137-142</ispartof><rights>2014 Elsevier Ltd</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2014 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Pergamon Press Inc. Apr 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c577t-4a7e279c136c2c6cb5f130cbdc25730c50d99736b77a4fb5e9db6a632dd2948f3</citedby><cites>FETCH-LOGICAL-c577t-4a7e279c136c2c6cb5f130cbdc25730c50d99736b77a4fb5e9db6a632dd2948f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.socscimed.2014.01.052$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,33774,33775,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28363931$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24561775$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Dalen, Hendrik P.</creatorcontrib><creatorcontrib>Henkens, Kène</creatorcontrib><title>Comparing the effects of defaults in organ donation systems</title><title>Social science & medicine (1982)</title><addtitle>Soc Sci Med</addtitle><description>The ability of patients in many parts of the world to benefit from transplantation is limited by growing shortages of transplantable organs. The choice architecture of donation systems is said to play a pivotal role in explaining this gap. In this paper we examine the question how different defaults affect the decision to register as organ donor. Three defaults in organ donation systems are compared: mandated choice, presumed consent and explicit consent. Hypothetical choices from a national survey of 2069 respondents in May 2011 in the Netherlands – a country with an explicit consent system – suggests that mandated choice and presumed consent are more effective at generating registered donors than explicit consent.
•Survey results for the Netherlands reveal that defaults matter in organ donation systems.•Alternative default settings are confronted with the existing system of explicit consent.•Mandated choice and presumed consent are more effective in generating donors than explicit consent.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Architecture</subject><subject>Behavioral economics</subject><subject>Biological and medical sciences</subject><subject>Blood & organ donations</subject><subject>Choice Behavior</subject><subject>Choices</subject><subject>Clinical death. Palliative care. Organ gift and preservation</subject><subject>Comparative analysis</subject><subject>Data Collection</subject><subject>Decision making</subject><subject>Decisions</subject><subject>Defaults</subject><subject>Explicit consent</subject><subject>Humans</subject><subject>Informed Consent - legislation & jurisprudence</subject><subject>Mandatory choice</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Netherlands</subject><subject>Organ Donation</subject><subject>Organs</subject><subject>Patients</subject><subject>Presumed Consent - legislation & jurisprudence</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Registries</subject><subject>Scarcity</subject><subject>Tissue and Organ Procurement - legislation & jurisprudence</subject><subject>Tissue Donors - psychology</subject><subject>Tissue Donors - supply & distribution</subject><subject>Transplants</subject><subject>Transplants & implants</subject><issn>0277-9536</issn><issn>1873-5347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqNkkuLFDEQgIMo7jj6F7RBhL10W3l38LQMrgoLXvQc0nmsGbo7Y9Ij7L83zcwqeBlPKchXlar6gtAbDB0GLN7vu5JssXHyriOAWQe4A06eoA3uJW05ZfIp2gCRslWciiv0opQ9AGDo6XN0RRgXWEq-QR92aTqYHOf7ZvnhGx-Ct0tpUmicD-Y41jjOTcr3Zm5cms0S09yUh7L4qbxEz4IZi391Prfo--3Hb7vP7d3XT192N3et5VIuLTPSE6kspsISK-zAA6ZgB2cJlzXg4JSSVAxSGhYG7pUbhBGUOEcU6wPdoutT3UNOP4--LHqKxfpxNLNPx6KxBEYZrTNfRoUipFcA4j9RzjFcRjn0jBKm1gbe_oPu0zHPdT0rpUidvLa6RfJE2ZxKyT7oQ46TyQ8ag14F673-I1ivgjVgXQXXzNfn-sdhvXvMezRagXdnwBRrxpDNbGP5y_VUUEVx5W5OnK_mfkWfdX3Nz9a7mOsX0C7Fi838BuWWxPI</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>van Dalen, Hendrik P.</creator><creator>Henkens, Kène</creator><general>Elsevier Ltd</general><general>Elsevier</general><general>Pergamon Press Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>20140401</creationdate><title>Comparing the effects of defaults in organ donation systems</title><author>van Dalen, Hendrik P. ; Henkens, Kène</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c577t-4a7e279c136c2c6cb5f130cbdc25730c50d99736b77a4fb5e9db6a632dd2948f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Architecture</topic><topic>Behavioral economics</topic><topic>Biological and medical sciences</topic><topic>Blood & organ donations</topic><topic>Choice Behavior</topic><topic>Choices</topic><topic>Clinical death. Palliative care. Organ gift and preservation</topic><topic>Comparative analysis</topic><topic>Data Collection</topic><topic>Decision making</topic><topic>Decisions</topic><topic>Defaults</topic><topic>Explicit consent</topic><topic>Humans</topic><topic>Informed Consent - legislation & jurisprudence</topic><topic>Mandatory choice</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Netherlands</topic><topic>Organ Donation</topic><topic>Organs</topic><topic>Patients</topic><topic>Presumed Consent - legislation & jurisprudence</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Registries</topic><topic>Scarcity</topic><topic>Tissue and Organ Procurement - legislation & jurisprudence</topic><topic>Tissue Donors - psychology</topic><topic>Tissue Donors - supply & distribution</topic><topic>Transplants</topic><topic>Transplants & implants</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Dalen, Hendrik P.</creatorcontrib><creatorcontrib>Henkens, Kène</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>Social science & medicine (1982)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Dalen, Hendrik P.</au><au>Henkens, Kène</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparing the effects of defaults in organ donation systems</atitle><jtitle>Social science & medicine (1982)</jtitle><addtitle>Soc Sci Med</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>106</volume><spage>137</spage><epage>142</epage><pages>137-142</pages><issn>0277-9536</issn><eissn>1873-5347</eissn><coden>SSMDEP</coden><abstract>The ability of patients in many parts of the world to benefit from transplantation is limited by growing shortages of transplantable organs. The choice architecture of donation systems is said to play a pivotal role in explaining this gap. In this paper we examine the question how different defaults affect the decision to register as organ donor. Three defaults in organ donation systems are compared: mandated choice, presumed consent and explicit consent. Hypothetical choices from a national survey of 2069 respondents in May 2011 in the Netherlands – a country with an explicit consent system – suggests that mandated choice and presumed consent are more effective at generating registered donors than explicit consent.
•Survey results for the Netherlands reveal that defaults matter in organ donation systems.•Alternative default settings are confronted with the existing system of explicit consent.•Mandated choice and presumed consent are more effective in generating donors than explicit consent.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>24561775</pmid><doi>10.1016/j.socscimed.2014.01.052</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Architecture Behavioral economics Biological and medical sciences Blood & organ donations Choice Behavior Choices Clinical death. Palliative care. Organ gift and preservation Comparative analysis Data Collection Decision making Decisions Defaults Explicit consent Humans Informed Consent - legislation & jurisprudence Mandatory choice Medical sciences Miscellaneous Netherlands Organ Donation Organs Patients Presumed Consent - legislation & jurisprudence Public health. Hygiene Public health. Hygiene-occupational medicine Registries Scarcity Tissue and Organ Procurement - legislation & jurisprudence Tissue Donors - psychology Tissue Donors - supply & distribution Transplants Transplants & implants |
| title | Comparing the effects of defaults in organ donation systems |
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