Abolishing age criterion to determine organ transplant recipients in Israel: A qualitative study of medical staff perceptions.

Autor: Katvan E; Law School and Department of Health System Management, Peres Academic Center, Rehovot, Israel; Bar-Ilan University, Ramat Gan, Israel., Korin O; Department of Sociology and Anthropology, Ariel University, Israel. Electronic address: Orly.Korin@msmail.ariel.ac.il., Doron II; Department of Gerontology, CRSA - Center for Research & Study of Aging, University of Haifa, Israel., Mor E; Organ Transplant Center, Sheba Medical Center, and the Faculty of Medicine, Tel Aviv University, Israel., Shnoor B; Law School, Academic College of Law and Science, Hod Hasharon, Israel., Gelman D; Department of Military Medicine, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel., Ashkenazi T; Israel National Transplant Center, Israel Ministry of Health, Tel Aviv, Israel.
Jazyk: angličtina
Zdroj: Health policy (Amsterdam, Netherlands) [Health Policy] 2024 Dec; Vol. 150, pp. 105197. Date of Electronic Publication: 2024 Nov 01.
DOI: 10.1016/j.healthpol.2024.105197
Abstrakt: Introduction: Since April 2014 the age limitation on candidates listed for organ transplantation in Israel was abolished following the recommendations of a Public Committee. In this research the new policy was examined in light of scarce medical resources and the increased rate of aging in Israel.
Methods: The opinions of twelve medical staff regarding the policy change were analyzed by a qualitative methodology, using semi-structured interviews.
Results: Interviews with medical staff members revealed three main themes: 1. positive acceptance of the new policy; 2. concerns and problems regarding the change; and 3. the influence of the policy change on the organ transplant allocation system and patient-doctor relationships.
Discussion and Conclusions: The medical staff expressed positive views towards the new policy, based on age-free, individually determined admission to transplant waiting lists. However, some concerns were raised regarding the medical implications of this policy, thus potentially hindering its full application.
Competing Interests: Declaration of competing interest The authors declare that they have no competing interests.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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