Author(s): Amir Elalouf, Joseph S Pliskin
Although organs are a public resource, community preferences are not explicitly incorporated into organ allocation policies. Hence, this review aims to integrate various populations’ studies to explore whether and how community members, alongside other stakeholders, believe that priority should be assigned to waitlist candidates. The review, which includes an abundance of studies conducted in the US, the UK, and Australia, discovered that the vast majority of the public shares similar opinions. It is prepared to accept an overall diminution in the transplantation system’s efficacy in exchange for a fairer and more equitable allocation. Namely, the public is willing to waive some gain in utility for growth in fairness in the distribution of organs. Therefore, we propose that key stakeholders are most likely to perceive an allocation system as efficient and equitable if the scheme considers those stakeholders’ ideas regarding which criteria yield efficiency and equity.