Designing a kidney exchange program in Germany: simulations and recommendations

We examine some of the opportunities and challenges concerned with establishing a centralized national kidney exchange program in Germany. Despite the many advantages of a national program, without deliberate design and policy intervention, a fragmented kidney exchange program may emerge. We study a...

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Bibliographic Details
Published in:Central European journal of operations research 2024-08
Main Authors: Ashlagi, Itai, Cseh, Ágnes, Manlove, David, Ockenfels, Axel, Pettersson, William
Format: Article
Language:English
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Summary:We examine some of the opportunities and challenges concerned with establishing a centralized national kidney exchange program in Germany. Despite the many advantages of a national program, without deliberate design and policy intervention, a fragmented kidney exchange program may emerge. We study a number of collaboration strategies, and resulting simulations suggest that transplant centers may find it advantageous not to fully participate, resulting in a net reduction in the number of transplants. These results also suggest that allowing more forms of kidney exchange, such as three-way exchanges and non-directed donations, can significantly increase the number of transplants while making participation in a national program more attractive and thus national coordination and cooperation more robust. We propose a multi-level policy approach that is easy to implement and would promote an efficient German kidney exchange program that benefits recipients, donors and hospitals.
ISSN:1435-246X
1613-9178
DOI:10.1007/s10100-024-00933-0