Comparing the effects of defaults in organ donation systems

Research output: Contribution to journal/periodicalArticleScientificpeer-review

1461 Downloads (Pure)


The ability of patients in many parts of the world to benefit from transplantation is limited by growing shortages of transplantable organs. The choice architecture of donation systems is said to play a pivotal role in explaining this gap. In this paper we examine the question how different defaults affect the decision to register as organ donor. Three defaults in organ donation systems are compared: mandated choice, presumed consent and explicit consent. Hypothetical choices from a national survey of 2069 respondents in May 2011 in the Netherlands – a country with an explicit consent system – suggests that mandated choice and presumed consent are more effective at generating registered donors than explicit consent. Keywords: Organ donation; Behavioral economics; Mandatory choice; Explicit consent; Defaults; Netherlands
Original languageEnglish
Pages (from-to)137-142
JournalSocial Science & Medicine
Issue numberApril
Publication statusPublished - 2014


  • Organ donation
  • Behavioral economics
  • Mandatory choice
  • Explicit consent
  • Defaults
  • Netherlands
  • SSCI


Dive into the research topics of 'Comparing the effects of defaults in organ donation systems'. Together they form a unique fingerprint.

Cite this