The role of heterogeneity of patients’ preferences in kidney transplantation

Mesfin G. Genie, Antonio Nicoló, Giacomo Pasini*

*Corresponding author for this work

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Abstract

We elicit time and risk preferences for kidney transplantation from the entire population of patients of the largest Italian transplant centre using a discrete choice experiment (DCE). We measure patients’ willingness-to-wait (WTW) for receiving a kidney with one-year longer expected graft survival, or a low risk of complication. Using a mixed logit in WTW-space model, we find heterogeneity in patients’ preferences. Our model allows WTW to vary with patients’ age and duration of dialysis. The results suggest that WTW correlates with age and duration of dialysis, and that accounting for patients’ preferences in the design of kidney allocation protocols could increase their welfare. The implication for transplant practice is that eliciting patients’ preferences could help in the allocation of “non-ideal” kidneys.

Original languageEnglish
Article number102331
Number of pages22
JournalJournal of Health Economics
Volume72
Early online date16 May 2020
DOIs
Publication statusPublished - Jul 2020

Keywords

  • Discrete choice experiment
  • Marginal kidney
  • Mixed logit
  • Willingness to wait
  • ATTRIBUTES
  • SURVIVAL BENEFIT
  • DISCRETE-CHOICE EXPERIMENTS
  • TIME
  • DONOR KIDNEYS
  • DISTRIBUTIONS
  • SPACE
  • KDPI
  • WILLINGNESS-TO-PAY
  • MODELS

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