Book contents
- Negotiating Values
- Negotiating Values
- Copyright page
- Dedication
- Contents
- Figure and Tables
- Preface and Acknowledgments
- Abbreviations
- 1 Rare Opportunity
- 2 Origins of Continuous Distribution
- 3 Managing the Implementation of Organizational Change
- 4 Varieties of Expertise
- 5 Public (Community) Participation in Policymaking
- 6 Evidence and Values in Continuous Distribution Design
- 7 Organ Acceptance and Continuous Distribution
- 8 Constructed Collaboration
- Appendix
- References
- Index
1 - Rare Opportunity
Transparent Implementation of Organizational Change
Published online by Cambridge University Press: 30 November 2025
Book contents
- Negotiating Values
- Negotiating Values
- Copyright page
- Dedication
- Contents
- Figure and Tables
- Preface and Acknowledgments
- Abbreviations
- 1 Rare Opportunity
- 2 Origins of Continuous Distribution
- 3 Managing the Implementation of Organizational Change
- 4 Varieties of Expertise
- 5 Public (Community) Participation in Policymaking
- 6 Evidence and Values in Continuous Distribution Design
- 7 Organ Acceptance and Continuous Distribution
- 8 Constructed Collaboration
- Appendix
- References
- Index
Summary
Organ transplantation offers patients greater longevity and quality of life. The allocation of scarce deceased-donor organs involves high stakes for patients, transplant centers, and Medicare. The US Congress delegated authority for the development of allocation rules to the Organ Procurement and Transplantation Network (OPTN), which engages stakeholders in the process. In 2018, the OPTN committed to replacing categorical allocation rules with continuous distribution, a new framework that sought to eliminate inefficiencies and inequities at categorical boundaries. The transparency of the OPTN provides an opportunity to observe this attempt to implement a consequential planned organizational change. The process reveals the extent to which the stakeholder rulemaking of the OPTN, an example of constructed collaboration, can implement radical as well as incremental change. More generally, it offers insight into the roles of expertise and values in high-stakes and complex organizational decision-making.
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- Negotiating ValuesImplementing Change in the Allocation of Transplant Organs, pp. 1 - 17Publisher: Cambridge University PressPrint publication year: 2025
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