Abstract
The Netherlands faces a shortage of organ donors. Figures from Statistics Netherlands show that of Dutch residents aged 12 and over, only one in four is a registered organ donor. In July 2020, a new law has changed the system from ‘opt-in’ to ‘opt-out’, with the aim of increasing the number of registered donors. Under the new system, everyone is in principle automatically registered as a donor unless they decline permission for their organs to be used. But what are the drivers of organ donation? This question is particularly interesting in the Netherlands, not only because of the new law, but also in light of the diversity in social capital and religious involvement which may play an important role in the decision to donate. This paper explores the impact of social capital on organ donation. It uses a unique database which contains information on organ donation for the whole Dutch population over 12, enriched by the Survey on Social Cohesion and Wellbeing covering the period 2012–2017 (N = 45,645). Results demonstrate a linear increase in registered organ donors as individual social capital, measured by a composite index based on 17 participation and trust indicators, increases. The results further show that religion has a detrimental impact on organ donation. The paper also discusses the effects of the separate social capital indicators on organ donation and their policy implications.
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Appendices
Appendix 1: Measures for the 17 Indicators in the Social Capital Composite Index
Social participation.
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1.
Family contacts [Rarely or never (1)—at least once a day (5)]
How often do you have contact with family members outside the home?
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2.
Contacts with friends [Rarely or never (1)—at least once a day (5)]
How often do you have contact with friends or close acquaintances?
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3.
Contacts with neighbors [Rarely or never (1)—at least once a day (5)]
How often do you have contact with neighbors?
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4.
Informal help (0 = No, 1 = Yes)
Have you provided any informal help in the last 4 weeks?
Organizational participation
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5.
Organizational activities (0 = No, 1 = Yes)
Do you participate in organizational activities at least once a month?
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6.
Work (0 = Less than 12 h, 1 = 12 h or more)
How many hours per week do you spend on a paid job?
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7.
Volunteering (0 = No, 1 = Yes)
Have you done any volunteer work in the last 12 months for any of the following types of organizations:
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Youth work
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School
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Health care organization
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Sports organization
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Hobby organization
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Cultural organization
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Church or mosque
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Union or employee organization
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Political party or protest organization
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Social care organization
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Housing association
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Neighborhood organization
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Other
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Political participation
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1.
Political action (0 = No, 1 = Yes)
In the last 5 years, have you participated in political actions or influenced politicians/civil servants via:
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radio, TV, newspaper
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political parties or organizations
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government organized meeting
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personal contact with politician or civil servant
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protest group
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public protest or demonstration
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internet, e-mail, SMS
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otherwise
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none of these
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-
9.
Voting (0 = No, 1 = Yes)
Have you voted in the most recent national elections?
Social trust
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10.
Social trust (0 = One can’t be too careful, 1 = Most people can be trusted)
Indicate which statement you agree with most: most people can be trusted; one can’t be too careful.
Organizational trust
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11.
Trust in army (1 = Not at all, 4 = A lot)
Indicate to which extent you trust the army
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12.
Trust in judges (1 = Not at all, 4 = A lot)
Indicate to which extent you trust judges
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13.
Trust in civil servants (1 = Not at all, 4 = A lot)
Indicate to which extent you trust civil servants
-
14.
Trust in press (1 = Not at all, 4 = A lot)
Indicate to which extent you trust the press
-
15.
Trust in police (1 = Not at all, 4 = A lot)
Indicate to which extent you trust the police
-
16.
Trust in large companies (1 = Not at all, 4 = A lot)
Indicate to which extent you trust the large companies
Political trust
-
17.
Trust in parliament (1 = Not at all, 4 = A lot)
Indicate to which extent you trust the Dutch parliament
Appendix 2
See Table 9.
Appendix 3
See Table 10.
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Schmeets, H., Peters, F. The Impact of Social Capital on Organ Donation: Evidence from the Netherlands. Soc Indic Res 157, 863–897 (2021). https://doi.org/10.1007/s11205-021-02666-y
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DOI: https://doi.org/10.1007/s11205-021-02666-y