Balancing Equity and Efficiency in Kidney Allocation: An Overview

Amir Elalouf, Joseph S. Pliskin

Research output: Contribution to journalArticlepeer-review


Organs for transplantation are a scarce resource. Markedly, the transplant community's primary challenge is the stark disparity between the number of patients awaiting deceased donor organ transplants and the rate at which organs become available. However, the allocation of a limited number of organs poses another constant challenge: maintaining an equilibrium between renal transplant utility and equity, that is, striking a balance between the utilitarian argument of medical efficiency and the principle of equity. In this comprehensive overview, the authors delve into the challenge of maintaining an acceptable balance between equity and efficiency and elaborate on some of the factors that might inform a decisionmaker's evaluation of the extent to which a given allocation scheme is efficient or equitable.

Original languageEnglish
Pages (from-to)321-332
Number of pages12
JournalCambridge Quarterly of Healthcare Ethics
Issue number3
StatePublished - 1 Jul 2022


  • Kidney allocation
  • Medical efficiency
  • Principle of equity
  • Renal transplant

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Health Policy
  • Issues, ethics and legal aspects


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