Does Social Capital Explain Community-Level Differences in Organ Donor Designation?

The Milbank Quarterly
Keren LadinJames R Rodrigue

Abstract

The growing shortage of life-saving organs has reached unprecedented levels, with more than 120,000 Americans waiting for them. Despite national attempts to increase organ donation and federal laws mandating the equitable allocation of organs, geographic disparities remain. A better understanding of the contextual determinants of organ donor designation, including social capital, may enhance efforts to increase organ donation by raising the probability of collective action and fostering norms of reciprocity and cooperation while increasing costs to defectors. Because community-level factors, including social capital, predict more than half the variation in donor designation, future interventions should tailor strategies to specific communities as the unit of intervention. The growing shortage of organs has reached unprecedented levels. Despite national attempts to increase donation and federal laws mandating the equitable allocation of organs, their availability and waiting times vary significantly nationwide. Organ donor designation is a collective action problem in public health, in which the regional organ supply and average waiting times are determined by the willingness of individuals to be listed as organ donors. Social c...Continue Reading

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Feb 6, 2017·Current Opinion in Organ Transplantation·Keren Ladin, Douglas W Hanto
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Jun 12, 2021·Transplantation Direct·Joel T Adler, Tanujit Dey
May 9, 2021·Pediatrics·Justin GodownGretchen Chapman

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