Equity or Equality? Which Approach Brings More Satisfaction in a Kidney-Exchange Chain?
In United States (U.S.), government-funded organizations, such as NLDAC, reimburse travel and subsistence expenses incurred during living-organ donation process. However, in Iran, there is a non-governmental organization called Iranian Kidney Foundation (IKF) that funds the direct and indirect costs...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-12-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/11/12/1383 |
| _version_ | 1797503104363528192 |
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| author | Arian Hosseinzadeh Mehdi Najafi Wisit Cheungpasitporn Charat Thongprayoon Mahdi Fathi |
| author_facet | Arian Hosseinzadeh Mehdi Najafi Wisit Cheungpasitporn Charat Thongprayoon Mahdi Fathi |
| author_sort | Arian Hosseinzadeh |
| collection | DOAJ |
| description | In United States (U.S.), government-funded organizations, such as NLDAC, reimburse travel and subsistence expenses incurred during living-organ donation process. However, in Iran, there is a non-governmental organization called Iranian Kidney Foundation (IKF) that funds the direct and indirect costs of donors through charitable donations and contributions from participants in the exchange program. In this article, for countries outside the U.S. that currently use an equality approach, we propose a potential new compensation-apportionment approach (equitable approach) for kidney-exchange chains and compare it with the currently available system (equality approach) in terms of the apportionment of compensation in a kidney-exchange chain to cover the expenses incurred by the initiating living donor of the chain in the act of donation. To this end, we propose a mechanism to apportion compensation among all participating pairs based on the equity approach by utilizing a prediction model to calculate the probability of graft survival in each transplant operation. These probabilities are then used to define the utility of any transplantation, considering the quality of each pair’s donated and received kidney in the chain. Afterward, the corresponding cost is apportioned by a mechanism based on the normalized differences between the utility of donated and received kidneys for each incompatible pair of the chain. In summary, we demonstrate that by utilizing the equitable approach, there is more fairness and equity in the allocation of resources in organ-procurement systems, which results in more satisfaction among incompatible pairs. Additional future prospective studies are needed to assess this proposed equitable approach for kidney-exchange chains in countries outside the U.S., such as Iran, that currently use an equality approach. |
| first_indexed | 2024-03-10T03:45:45Z |
| format | Article |
| id | doaj.art-43823881795e4e51b6cc71689874909f |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-10T03:45:45Z |
| publishDate | 2021-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-43823881795e4e51b6cc71689874909f2023-11-23T09:08:49ZengMDPI AGJournal of Personalized Medicine2075-44262021-12-011112138310.3390/jpm11121383Equity or Equality? Which Approach Brings More Satisfaction in a Kidney-Exchange Chain?Arian Hosseinzadeh0Mehdi Najafi1Wisit Cheungpasitporn2Charat Thongprayoon3Mahdi Fathi4Industrial Engineering Department, Sharif University of Technology, Tehran 1458889694, IranIndustrial Engineering Department, Sharif University of Technology, Tehran 1458889694, IranDepartment of Medicine, Mayo Clinic, Rochester, MN 55905, USADepartment of Medicine, Mayo Clinic, Rochester, MN 55905, USADepartment of Information Technology and Decision Sciences, G. Brint Ryan College of Business, University of North Texas, Denton, TX 76201, USAIn United States (U.S.), government-funded organizations, such as NLDAC, reimburse travel and subsistence expenses incurred during living-organ donation process. However, in Iran, there is a non-governmental organization called Iranian Kidney Foundation (IKF) that funds the direct and indirect costs of donors through charitable donations and contributions from participants in the exchange program. In this article, for countries outside the U.S. that currently use an equality approach, we propose a potential new compensation-apportionment approach (equitable approach) for kidney-exchange chains and compare it with the currently available system (equality approach) in terms of the apportionment of compensation in a kidney-exchange chain to cover the expenses incurred by the initiating living donor of the chain in the act of donation. To this end, we propose a mechanism to apportion compensation among all participating pairs based on the equity approach by utilizing a prediction model to calculate the probability of graft survival in each transplant operation. These probabilities are then used to define the utility of any transplantation, considering the quality of each pair’s donated and received kidney in the chain. Afterward, the corresponding cost is apportioned by a mechanism based on the normalized differences between the utility of donated and received kidneys for each incompatible pair of the chain. In summary, we demonstrate that by utilizing the equitable approach, there is more fairness and equity in the allocation of resources in organ-procurement systems, which results in more satisfaction among incompatible pairs. Additional future prospective studies are needed to assess this proposed equitable approach for kidney-exchange chains in countries outside the U.S., such as Iran, that currently use an equality approach.https://www.mdpi.com/2075-4426/11/12/1383kidney exchangekidney chain donationequitygraft survival predictionfinancial neutrality |
| spellingShingle | Arian Hosseinzadeh Mehdi Najafi Wisit Cheungpasitporn Charat Thongprayoon Mahdi Fathi Equity or Equality? Which Approach Brings More Satisfaction in a Kidney-Exchange Chain? Journal of Personalized Medicine kidney exchange kidney chain donation equity graft survival prediction financial neutrality |
| title | Equity or Equality? Which Approach Brings More Satisfaction in a Kidney-Exchange Chain? |
| title_full | Equity or Equality? Which Approach Brings More Satisfaction in a Kidney-Exchange Chain? |
| title_fullStr | Equity or Equality? Which Approach Brings More Satisfaction in a Kidney-Exchange Chain? |
| title_full_unstemmed | Equity or Equality? Which Approach Brings More Satisfaction in a Kidney-Exchange Chain? |
| title_short | Equity or Equality? Which Approach Brings More Satisfaction in a Kidney-Exchange Chain? |
| title_sort | equity or equality which approach brings more satisfaction in a kidney exchange chain |
| topic | kidney exchange kidney chain donation equity graft survival prediction financial neutrality |
| url | https://www.mdpi.com/2075-4426/11/12/1383 |
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