Incentivized Kidney Exchange
提出通过给予兼容配对在死亡捐献者队列中的优先权来激励其参与肾脏交换,利用美国数据量化该方案在活体移植机会和减少竞争方面的显著收益。
Over the last 15 years, kidney exchange has become a mainstream paradigm to increase transplants. However, compatible pairs do not participate, and full benefits from exchange can be realized only if they do. We propose incentivizing compatible pairs to participate in exchange by insuring their patients against future renal failure via increased priority in deceased-donor queue. We analyze equity and welfare benefits of this scheme through a new dynamic continuum model. We calibrate the model with US data and quantify substantial gains from adopting incentivized exchange, both in terms of access to living-donor transplants and reduced competition for deceased-donor transplants.