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Kidney Procurement System in Colombia: A System Dynamics Approach

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Cruz, Joan Paola
Guerrero Rueda, William J.
Pérez, Edna Rocío
Lizarazo Walteros, David Leonardo
Rico Ardila, Paula Carolina
Castillo, Ana María
Torres Tinjacá, Laura Natalia
Abstract (Spanish)
Objetivo: Este artículo presenta un análisis de dos propuestas de regulación en respuesta a la creciente demanda de trasplantes de riñón en Colombia. Los resultados pueden ser útiles al evaluar esas posibles intervenciones en las políticas una vez han sido implementadas. Métodos: El modelo propuesto emplea la Dinámica de Sistemas como herramienta para entender el comportamiento de este complejo sistema social cuando se ejecutan dos proyectos de intervención. El primero es un proyecto de ley que buscan expandir la presunción legal de la donación del órgano. El segundo es la implementación de un Programa de intercambio de riñones (KEP). El análisis se realiza en dos partes: primero se propone un diagrama causal; en segundo lugar, se analiza la simulación del sistema usando un diagrama de existencias y flujos. Resultados: Los resultados muestran que los proyectos pueden equilibrar el sistema y motivar las donaciones. Conclusión: Se recomienda la implementación de un programa KEP dado que logra la estabilidad del sistema antes que la enmienda de las leyes, con una reducción en el tamaño de la lista de espera
Abstract (English)
Objective: This paper presents an analysis of two regulatory proposals in response to the growing demand for kidney transplants in Colombia. The results can be useful in evaluating these possible policy interventions once they have been implemented. Methods: The proposed model uses System Dynamics as a tool to understand the behavior of this complex social system if two intervention projects are executed. The first is a bill of law seeking to expand the legal presumption of organ donation. The second one is to implement a Kidney Exchange Program. The analysis is made in two parts. Firstly, a causal loop diagram is proposed. Secondly, the simulation of the system using a stock and flow diagram is analyzed. Results: Results show that the projects can balance the system and encourage donations. Conclusion: The implementation of a KEP is recommended since it achieves stability of the system earlier than the amendment to the law, with a reduction in the waiting list size.
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27 páginas
URI: https://repositorio.escuelaing.edu.co/handle/001/1604
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