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Consent to organ donation and family authorization: A causal inference study of the French amendment of article L1232-1 in Code de la santé publique and organ donations
Jönköping University, Jönköping International Business School.
2022 (English)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

The world is experiencing a lasting shortage of organ donations – a problem more severe in some countries than others. Literature on the matter argues that an explanation for this is the various legal default consent systems, and the importance put on the opinions of the family members regarding the donation question in case of sudden death. This paper establishes the causal inference between cadaveric organ donation rates and the French amendment of the public health code, of 2017, which limited the authorization given to the family members - aiming to decrease family refusal rates and consequently increase cadaveric organ donation rates. By applying the synthetic control method, a synthetic counterfactual to France is constructed from a donor group, including comparable European countries. The counterfactual, Synthetic France, resembles what would have happened in France in the absence of the amendment. The results show that the legal amendment of article L1232-1 in the public health code (code de la santé publique) was likely the driving force behind the increased donation rate in the subsequent years. The main finding of this study is robust and statistically significant, providing confidence to the claim of causal inference. 

Place, publisher, year, edition, pages
2022. , p. 55
Keywords [en]
Organ donation, Default options, Presumed consent, Family authorization, Synthetic control method, France
National Category
Economics Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hj:diva-57178ISRN: JU-IHH-NAA-2-20220273OAI: oai:DiVA.org:hj-57178DiVA, id: diva2:1669747
Subject / course
JIBS, Economics
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Available from: 2022-06-28 Created: 2022-06-14 Last updated: 2025-10-13Bibliographically approved

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Consent to organ donation and family authorization: A causal inference study of the French amendment of article L1232-1 in Code de la santé publique and organ donations(561 kB)924 downloads
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File name FULLTEXT01.pdfFile size 561 kBChecksum SHA-512
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Jönköping International Business School
EconomicsHealth Care Service and Management, Health Policy and Services and Health Economy

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CiteExportLink to record
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Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf