Does competition for transplantable hearts encourage 'gaming' of the waiting list?
Publication
, Journal Article
Scanlon, DP; Hollenbeak, CS; Lee, W; Loh, E; Ubel, PA
Published in: Health affairs (Project Hope)
March 2004
Transplant centers may "game" the severity of listed patients to increase their patients' likelihood of receiving transplantable organs. Recent lawsuits allege gaming at some centers, and listing policies were modified in 1999 to clarify listing criteria. We tested for gaming and its relationship to heart transplant center competition. We found that increased competition resulted in more patients listed in the most severe illness category (p < .01), consistent with the gaming hypothesis. Gaming was mitigated after the 1999 policy change (p > .05), which suggests that the new rules were effective. Continued monitoring is warranted, given prior gaming and recent accusations.
Duke Scholars
Published In
Health affairs (Project Hope)
DOI
EISSN
1544-5208
ISSN
0278-2715
Publication Date
March 2004
Volume
23
Issue
2
Start / End Page
191 / 198
Related Subject Headings
- Waiting Lists
- United States
- Tissue and Organ Procurement
- Humans
- Heart Transplantation
- Health Policy & Services
- 4407 Policy and administration
- 4203 Health services and systems
- 1402 Applied Economics
- 1117 Public Health and Health Services
Citation
APA
Chicago
ICMJE
MLA
NLM
Scanlon, D. P., Hollenbeak, C. S., Lee, W., Loh, E., & Ubel, P. A. (2004). Does competition for transplantable hearts encourage 'gaming' of the waiting list? Health Affairs (Project Hope), 23(2), 191–198. https://doi.org/10.1377/hlthaff.23.2.191
Scanlon, Dennis P., Christopher S. Hollenbeak, Woolton Lee, Evan Loh, and Peter A. Ubel. “Does competition for transplantable hearts encourage 'gaming' of the waiting list?” Health Affairs (Project Hope) 23, no. 2 (March 2004): 191–98. https://doi.org/10.1377/hlthaff.23.2.191.
Scanlon DP, Hollenbeak CS, Lee W, Loh E, Ubel PA. Does competition for transplantable hearts encourage 'gaming' of the waiting list? Health affairs (Project Hope). 2004 Mar;23(2):191–8.
Scanlon, Dennis P., et al. “Does competition for transplantable hearts encourage 'gaming' of the waiting list?” Health Affairs (Project Hope), vol. 23, no. 2, Mar. 2004, pp. 191–98. Epmc, doi:10.1377/hlthaff.23.2.191.
Scanlon DP, Hollenbeak CS, Lee W, Loh E, Ubel PA. Does competition for transplantable hearts encourage 'gaming' of the waiting list? Health affairs (Project Hope). 2004 Mar;23(2):191–198.
Published In
Health affairs (Project Hope)
DOI
EISSN
1544-5208
ISSN
0278-2715
Publication Date
March 2004
Volume
23
Issue
2
Start / End Page
191 / 198
Related Subject Headings
- Waiting Lists
- United States
- Tissue and Organ Procurement
- Humans
- Heart Transplantation
- Health Policy & Services
- 4407 Policy and administration
- 4203 Health services and systems
- 1402 Applied Economics
- 1117 Public Health and Health Services