Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/330613 
Year of Publication: 
2024
Citation: 
[Journal:] Central European Journal of Operations Research [ISSN:] 1613-9178 [Volume:] 33 [Issue:] 4 [Publisher:] Springer [Place:] Berlin, Heidelberg [Year:] 2024 [Pages:] 1529-1555
Publisher: 
Springer, Berlin, Heidelberg
Abstract: 
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.
Subjects: 
Kidney exchange
Market design
Simulation
Persistent Identifier of the first edition: 
Creative Commons License: 
cc-by Logo
Document Type: 
Article
Document Version: 
Published Version

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