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Age rationing for renal transplantation? The role of age in decisions regarding scarce life extending medical resources

Author

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  • Varekamp, I.
  • Krol, L. J.
  • Danse, J. A. C.

Abstract

The use of age as a selection criterion for scarce life extending medical resources is justified by some theorists and rejected by others. Qualitative research was conducted into age rationing in daily medical practice. Observations were made at two renal transplantation centres and people professionally involved in decision making about transplantation were interviewed. Age appeared to be an important factor in indication decisions concerning individual patients, because it is associated in several ways with both the risks and benefits of transplantation that are weighed against each other. This happens apart from scarcity of donor organs. However, age also appeared to be used as a selection criterion, though apparently to a slight degree. This happens in a covert, implicit way. This is possible because all the aspects of age that are important in indication decisions regarding individual patients may also be used as comparative selection criteria.

Suggested Citation

  • Varekamp, I. & Krol, L. J. & Danse, J. A. C., 1998. "Age rationing for renal transplantation? The role of age in decisions regarding scarce life extending medical resources," Social Science & Medicine, Elsevier, vol. 47(1), pages 113-120, July.
    • Handle: RePEc:eee:socmed:v:47:y:1998:i:1:p:113-120
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    Cited by:

    1. Paul Dolan & Rebecca Shaw & Aki Tsuchiya & Alan Williams, 2005. "QALY maximisation and people's preferences: a methodological review of the literature," Health Economics, John Wiley & Sons, Ltd., vol. 14(2), pages 197-208, February.
    2. Smeele, Nicholas V.R. & Chorus, Caspar G. & Schermer, Maartje H.N. & de Bekker-Grob, Esther W., 2023. "Towards machine learning for moral choice analysis in health economics: A literature review and research agenda," Social Science & Medicine, Elsevier, vol. 326(C).
    3. Hilke Brockmann, 2000. "Why is health treatment for the elderly less expensive than for the rest of the population? Health care rationing in Germany," MPIDR Working Papers WP-2000-001, Max Planck Institute for Demographic Research, Rostock, Germany.

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