Prompted Choice and Organ Donor Registrations: Quasi-Experimental Evidence from Italy

Omar Martin Fieles-Ahmad and Selina Schulze Spüntrup

No 425, ifo Working Paper Series from ifo Institute - Leibniz Institute for Economic Research at the University of Munich

Abstract: We examine the effects of introducing prompted choice on organ donation behavior. Applying a generalized difference-in-differences design, we take advantage of the gradual roll-out of a policy in Italy that integrated the question of organ donation preference into the process of identity card renewal. Our findings show that municipalities prompting the question saw a signifcant increase in consent registrations, although individuals retained the option to abstain from making a choice. We also provide novel evidence that regions with higher levels of registered consent have higher cadaveric organ donation rates.

Date: 2026
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