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

Health Policy. 2024 Dec:150:105197. doi: 10.1016/j.healthpol.2024.105197. Epub 2024 Nov 1.

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.

Keywords: Age limit; ageism; organ transplantation; policy change; qualitative.

MeSH terms

  • Adult
  • Age Factors
  • Attitude of Health Personnel
  • Female
  • Health Policy
  • Humans
  • Interviews as Topic*
  • Israel
  • Male
  • Medical Staff / psychology
  • Middle Aged
  • Organ Transplantation*
  • Qualitative Research*
  • Tissue and Organ Procurement
  • Transplant Recipients / psychology
  • Waiting Lists*