Allocation of scarce resources in a pandemic: rapid systematic review update of strategies for policymakers.
J Clin Epidemiol
; 139: 255-263, 2021 11.
Article
in English
| MEDLINE | ID: covidwho-1322194
ABSTRACT
OBJECTIVE:
In pandemics like COVID-19, the need for medical resources quickly outpaces available supply. policymakers need strategies to inform decisions about allocating scarce resources. STUDY DESIGN ANDSETTING:
We updated a systematic review on evidence-based approaches and searched databases through May 2020 for evaluation of strategies for policymakers.RESULTS:
The 201 identified studies evaluated reducing demand for healthcare, optimizing existing resources, augmenting resources, and adopting crisis standards of care. Most research exists to reduce demand (n = 149); 39 higher quality studies reported benefits of contact tracing, school closures, travel restrictions, and mass vaccination. Of 28 strategies to augment resources, 6 higher quality studies reported effectiveness of establishing temporary facilities, use of volunteers, and decision support software. Of 23 strategies to optimize existing resources, 12 higher quality studies reported successful scope of work expansions and building on existing interagency agreements. Of 15 COVID-19 studies, 5 higher quality studies reported on combinations of policies and benefits of community-wide mask policies.CONCLUSION:
Despite the volume, the evidence base is limited; few strategies were empirically tested in robust study designs. The review provides a comprehensive overview of the effects of strategies to allocate resources and provides critical appraisal to identify the best available evidence.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Health Care Rationing
/
Administrative Personnel
/
Pandemics
Type of study:
Experimental Studies
/
Observational study
/
Reviews
/
Systematic review/Meta Analysis
Topics:
Vaccines
Limits:
Humans
Language:
English
Journal:
J Clin Epidemiol
Journal subject:
Epidemiology
Year:
2021
Document Type:
Article
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