Journal Article

Dynamic Kidney Exchange

M. Utku Ünver

in The Review of Economic Studies

Published on behalf of Review of Economic Studies Ltd

Volume 77, issue 1, pages 372-414
Published in print January 2010 | ISSN: 0034-6527
Published online January 2010 | e-ISSN: 1467-937X | DOI:
Dynamic Kidney Exchange

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We study how barter exchanges should be conducted through a centralized mechanism in a dynamically evolving agent pool with time- and compatibility-based preferences. We derive the dynamically efficient two-way and multi-way exchange mechanisms that maximize total discounted exchange surplus. Recently several live-donor kidney exchange programmes were established to swap incompatible donors of end-stage kidney disease patients. Since kidney exchange can be modelled as a special instance of our more general model, dynamically efficient kidney exchange mechanisms are derived as corollaries. We make policy recommendations using simulations.

Journal Article.  19613 words.  Illustrated.

Subjects: Economics

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