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

IF 3.6 3区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Health Policy Pub Date : 2024-11-01 DOI:10.1016/j.healthpol.2024.105197

Eyal Katvan , Orly Korin , Israel Issi Doron , Eytan Mor , Boaz Shnoor , Daniel Gelman , Tamar Ashkenazi

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Abstract

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.

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以色列取消器官移植受者年龄标准：对医务人员看法的定性研究。

导言：根据公共委员会的建议，以色列自 2014 年 4 月起取消了器官移植候选人的年龄限制。本研究从医疗资源稀缺和以色列老龄化速度加快的角度对新政策进行了研究：方法：采用半结构化访谈的定性方法，分析了 12 名医务人员对政策变化的看法：与医务人员的访谈揭示了三大主题：1.对新政策的积极认可；2.对政策变化的担忧和问题；3.政策变化对器官移植分配系统和医患关系的影响：医务人员对新政策持积极态度，新政策以无年龄限制、个人决定是否进入器官移植候选名单为基础。然而，也有人对这一政策的医疗影响表示担忧，认为这可能会阻碍政策的全面实施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Policy 医学-卫生保健

CiteScore

6.40

自引率

6.10%

发文量

157

审稿时长

3-8 weeks

期刊介绍： Health Policy is intended to be a vehicle for the exploration and discussion of health policy and health system issues and is aimed in particular at enhancing communication between health policy and system researchers, legislators, decision-makers and professionals concerned with developing, implementing, and analysing health policy, health systems and health care reforms, primarily in high-income countries outside the U.S.A.