The Ethics of Creating a Resource Allocation Strategy During the COVID-19 Pandemic.

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.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Laventhal N,Basak R,Dell ML,Diekema D,Elster N,Geis G,Mercurio M,Opel D,Shalowitz D,Statter M,Macauley R

doi

10.1542/peds.2020-1243

subject

Has Abstract

pub_date

2020-07-01 00:00:00

issue

1

eissn

0031-4005

issn

1098-4275

pii

peds.2020-1243

journal_volume

146

pub_type

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