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The Ethics of Creating a Resource Allocation Strategy During the COVID-19 Pandemic.
Laventhal, Naomi; Basak, Ratna; Dell, Mary Lynn; Diekema, Douglas; Elster, Nanette; Geis, Gina; Mercurio, Mark; Opel, Douglas; Shalowitz, David; Statter, Mindy; Macauley, Robert.
  • Laventhal N; Department of Pediatrics, Medical School, University of Michigan, Ann Arbor, Michigan; naomilav@med.umich.edu.
  • Basak R; Brookdale University Hospital Medical Center, Brooklyn, New York.
  • Dell ML; Departments of Psychiatry and Pediatrics, College of Medicine, The Ohio State University, Columbus, Ohio.
  • Diekema D; Department of Pediatrics, School of Medicine, University of Washington, Seattle, Washington.
  • Elster N; Neiswanger Institute for Bioethics and Healthcare Leadership, Stritch School of Medicine, Loyola University Chicago, Chicago, Illinois.
  • Geis G; Bernard and Millie Duker Children's Hospital, Albany Medical College, Albany, New York.
  • Mercurio M; Department of Pediatrics, School of Medicine, Yale University, New Haven, Connecticut.
  • Opel D; Department of Pediatrics, School of Medicine, University of Washington, Seattle, Washington.
  • Shalowitz D; Department of Obstetrics and Gynecology, School of Medicine, Wake Forest University, Winston-Salem, North Carolina.
  • Statter M; Dpartment of Surgery, Albert Einstein College of Medicine, Bronx, New York; and.
  • Macauley R; Department of Pediatrics, Oregon Health and Science University, Portland, Oregon.
Pediatrics ; 146(1)2020 07.
Article in English | MEDLINE | ID: covidwho-203500
Semantic information from SemMedBD (by NLM)
1. Child LOCATION_OF IMPACT gene
Subject
Child
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LOCATION_OF
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Subject
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3. Child LOCATION_OF IMPACT gene
Subject
Child
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4. Hospitalization Required PROCESS_OF Child
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ABSTRACT
The coronavirus disease 2019 pandemic has affected nearly every aspect of medicine and raises numerous moral dilemmas for clinicians. Foremost of these quandaries is how to delineate and implement crisis standards of care and, specifically, how to consider how health care resources should be distributed in times of shortage. We review basic principles of disaster planning and resource stewardship with ethical relevance for this and future public health crises, explore the role of illness severity scoring systems and their limitations and potential contribution to health disparities, and consider the role for exceptionally resource-intensive interventions. We also review the philosophical and practical underpinnings of crisis standards of care and describe historical approaches to scarce resource allocation to offer analysis and guidance for pediatric clinicians. Particular attention is given to the impact on children of this endeavor. Although few children have required hospitalization for symptomatic infection, children nonetheless have the potential to be profoundly affected by the strain on the health care system imposed by the pandemic and should be considered prospectively in resource allocation frameworks.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pediatrics / Resource Allocation / Pandemics / Betacoronavirus Type of study: Prognostic study Limits: Child / Humans Language: English Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pediatrics / Resource Allocation / Pandemics / Betacoronavirus Type of study: Prognostic study Limits: Child / Humans Language: English Year: 2020 Document Type: Article