Canadian Transplant Candidates’ and Recipients’ Perspectives on Mandatory Vaccination and Access to Transplantation: A Qualitative Study
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| Format: | Artículo Open Access |
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Wiley
2026
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| author | Savannah‐Lou Cochran‐Mavrikakis Carina Sancho Aliya Affdal Fabián‐Andrés Ballesteros Gallego Marie‐Françoise Malo Laurence Ducharme Sébastien Foccroulle‐Bussières Lucy An Charles Poirier Geneviève Huard Noémi Tousignant Marie‐Chantal Fortin |
| author_facet | Savannah‐Lou Cochran‐Mavrikakis Carina Sancho Aliya Affdal Fabián‐Andrés Ballesteros Gallego Marie‐Françoise Malo Laurence Ducharme Sébastien Foccroulle‐Bussières Lucy An Charles Poirier Geneviève Huard Noémi Tousignant Marie‐Chantal Fortin Savannah‐Lou Cochran‐Mavrikakis Carina Sancho Aliya Affdal Fabián‐Andrés Ballesteros Gallego Marie‐Françoise Malo Laurence Ducharme Sébastien Foccroulle‐Bussières Lucy An Charles Poirier Geneviève Huard Noémi Tousignant Marie‐Chantal Fortin |
| collection | Wiley Open Access |
| contents | Canadian Transplant Candidates’ and Recipients’ Perspectives on Mandatory Vaccination and Access to Transplantation: A Qualitative Study Savannah‐Lou Cochran‐Mavrikakis Carina Sancho Aliya Affdal Fabián‐Andrés Ballesteros Gallego Marie‐Françoise Malo Laurence Ducharme Sébastien Foccroulle‐Bussières Lucy An Charles Poirier Geneviève Huard Noémi Tousignant Marie‐Chantal Fortin Clinical Transplantation ABSTRACT Background Given the stronger immunological effects of vaccines pre‐transplant, the question of whether pre‐transplant COVID‐19 vaccination should be mandatory has been raised. The objective of this study was to gather transplant patients’ perspectives on ethical issues related to mandatory vaccination and access to transplantation in Canada. Methods We conducted semi‐structured interviews with 45 transplant recipients and five transplant candidates from a Québec transplant program. The interviews were digitally recorded and transcribed. Thematic and content analysis was conducted. Results Most participants were in favor of pre‐transplant vaccine mandates given that vaccination is part of pre‐transplant assessment, transplant patients have moral responsibilities and/or vaccine mandates are legitimate especially in a public health emergency. Restrictions on patient autonomy, the ethical duty to ensure access to life‐saving transplantation and unequal access to vaccines were concerns raised by participants about vaccination mandates and access to transplantation. Many participants did not support excluding unvaccinated patients from transplant lists. Most, however, agreed with prioritizing vaccinated candidates in organ allocation. Conclusion This study indicates broad support for the promotion of pre‐transplant vaccination. However, preventing access to life‐saving organ because an individual is missing specific vaccinations raised concerns among participants. The results of this study could inform vaccination policies in transplantation in future public health emergencies. 10.1111/ctr.70530 http://creativecommons.org/licenses/by-nc/4.0/ |
| doi_str_mv | 10.1111/ctr.70530 |
| format | Artículo Open Access |
| id | wiley_oa_10_1111_ctr_70530 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by-nc/4.0/ |
| publishDate | 2026 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Canadian Transplant Candidates’ and Recipients’ Perspectives on Mandatory Vaccination and Access to Transplantation: A Qualitative Study Savannah‐Lou Cochran‐Mavrikakis Carina Sancho Aliya Affdal Fabián‐Andrés Ballesteros Gallego Marie‐Françoise Malo Laurence Ducharme Sébastien Foccroulle‐Bussières Lucy An Charles Poirier Geneviève Huard Noémi Tousignant Marie‐Chantal Fortin Clinical Transplantation Canadian Transplant Candidates’ and Recipients’ Perspectives on Mandatory Vaccination and Access to Transplantation: A Qualitative Study Savannah‐Lou Cochran‐Mavrikakis Carina Sancho Aliya Affdal Fabián‐Andrés Ballesteros Gallego Marie‐Françoise Malo Laurence Ducharme Sébastien Foccroulle‐Bussières Lucy An Charles Poirier Geneviève Huard Noémi Tousignant Marie‐Chantal Fortin Clinical Transplantation ABSTRACT Background Given the stronger immunological effects of vaccines pre‐transplant, the question of whether pre‐transplant COVID‐19 vaccination should be mandatory has been raised. The objective of this study was to gather transplant patients’ perspectives on ethical issues related to mandatory vaccination and access to transplantation in Canada. Methods We conducted semi‐structured interviews with 45 transplant recipients and five transplant candidates from a Québec transplant program. The interviews were digitally recorded and transcribed. Thematic and content analysis was conducted. Results Most participants were in favor of pre‐transplant vaccine mandates given that vaccination is part of pre‐transplant assessment, transplant patients have moral responsibilities and/or vaccine mandates are legitimate especially in a public health emergency. Restrictions on patient autonomy, the ethical duty to ensure access to life‐saving transplantation and unequal access to vaccines were concerns raised by participants about vaccination mandates and access to transplantation. Many participants did not support excluding unvaccinated patients from transplant lists. Most, however, agreed with prioritizing vaccinated candidates in organ allocation. Conclusion This study indicates broad support for the promotion of pre‐transplant vaccination. However, preventing access to life‐saving organ because an individual is missing specific vaccinations raised concerns among participants. The results of this study could inform vaccination policies in transplantation in future public health emergencies. 10.1111/ctr.70530 http://creativecommons.org/licenses/by-nc/4.0/ |
| title | Canadian Transplant Candidates’ and Recipients’ Perspectives on Mandatory Vaccination and Access to Transplantation: A Qualitative Study |
| topic | Clinical Transplantation |
| url | https://onlinelibrary.wiley.com/doi/10.1111/ctr.70530 |