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

被引：0

作者：

Katvan, Eyal ^{[1
,2
,3
,7
]}

Korin, Orly ^{[4
]}

Doron, Israel Issi ^{[5
]}

Mor, Eytan ^{[6
]}

Shnoor, Boaz ^{[8
]}

Gelman, Daniel ^{[9
]}

Ashkenazi, Tamar ^{[10
]}

机构：

[1] Peres Acad Ctr, Law Sch, Rehovot, Israel

[2] Peres Acad Ctr, Dept Hlth Syst Management, Rehovot, Israel

[3] Bar Ilan Univ, Ramat Gan, Israel

[4] Ariel Univ, Dept Sociol & Anthropol, IL-40700 Ariel, Israel

[5] Univ Haifa, CRSA Ctr Res & Study Aging, Dept Gerontol, Haifa, Israel

[6] Tel Aviv Univ, Organ Transplant Ctr, Sheba Med Ctr, Tel Aviv, Israel

[7] Tel Aviv Univ, Fac Med, Tel Aviv, Israel

[8] Acad Coll Law & Sci, Law Sch, Hod Hasharon, Israel

[9] Hebrew Univ Jerusalem, Fac Med, Dept Mil Med, Jerusalem, Israel

[10] Israel Minist Hlth, Israel Natl Transplant Ctr, Tel Aviv, Israel

来源：

HEALTH POLICY | 2024年 / 150卷

关键词：

Age limit; ageism; organ transplantation; policy change; qualitative; HEART-TRANSPLANTATION; ALLOCATION; ATTITUDES; IMPACT;

D O I：

10.1016/j.healthpol.2024.105197

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

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.

引用

页数：5

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