Cargando…

An Ethics Framework for Making Resource Allocation Decisions Within Clinical Care: Responding to COVID-19

On March, 24, 2020, 818 cases of COVID-19 had been reported in New South Wales, Australia, and new cases were increasing at an exponential rate. In anticipation of resource constraints arising in clinical settings as a result of the COVID-19 pandemic, a working party of ten ethicists (seven clinicia...

Descripción completa

Detalles Bibliográficos
Autores principales: Dawson, Angus, Isaacs, David, Jansen, Melanie, Jordens, Christopher, Kerridge, Ian, Kihlbom, Ulrik, Kilham, Henry, Preisz, Anne, Sheahan, Linda, Skowronski, George
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Singapore 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7445717/
https://www.ncbi.nlm.nih.gov/pubmed/32840833
http://dx.doi.org/10.1007/s11673-020-10007-w
_version_ 1783574035117899776
author Dawson, Angus
Isaacs, David
Jansen, Melanie
Jordens, Christopher
Kerridge, Ian
Kihlbom, Ulrik
Kilham, Henry
Preisz, Anne
Sheahan, Linda
Skowronski, George
author_facet Dawson, Angus
Isaacs, David
Jansen, Melanie
Jordens, Christopher
Kerridge, Ian
Kihlbom, Ulrik
Kilham, Henry
Preisz, Anne
Sheahan, Linda
Skowronski, George
author_sort Dawson, Angus
collection PubMed
description On March, 24, 2020, 818 cases of COVID-19 had been reported in New South Wales, Australia, and new cases were increasing at an exponential rate. In anticipation of resource constraints arising in clinical settings as a result of the COVID-19 pandemic, a working party of ten ethicists (seven clinicians and three full-time academics) was convened at the University of Sydney to draft an ethics framework to support resource allocation decisions. The framework guides decision-makers using a question-and-answer format, in language that avoids philosophical and medical technicality. The working party met five times over the following week and then submitted a draft Framework for consideration by two groups of intensivists and one group of academic ethicists. It was also presented to a panel on a national current affairs programme. The Framework was then revised on the basis of feedback from these sources and made publicly available online on April 3, ten days after the initial meeting. The framework is published here in full to stimulate ongoing discussion about rapid development of user-friendly clinical ethics resources in ongoing and future pandemics.
format Online
Article
Text
id pubmed-7445717
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Springer Singapore
record_format MEDLINE/PubMed
spelling pubmed-74457172020-08-26 An Ethics Framework for Making Resource Allocation Decisions Within Clinical Care: Responding to COVID-19 Dawson, Angus Isaacs, David Jansen, Melanie Jordens, Christopher Kerridge, Ian Kihlbom, Ulrik Kilham, Henry Preisz, Anne Sheahan, Linda Skowronski, George J Bioeth Inq Symposium: COVID-19 On March, 24, 2020, 818 cases of COVID-19 had been reported in New South Wales, Australia, and new cases were increasing at an exponential rate. In anticipation of resource constraints arising in clinical settings as a result of the COVID-19 pandemic, a working party of ten ethicists (seven clinicians and three full-time academics) was convened at the University of Sydney to draft an ethics framework to support resource allocation decisions. The framework guides decision-makers using a question-and-answer format, in language that avoids philosophical and medical technicality. The working party met five times over the following week and then submitted a draft Framework for consideration by two groups of intensivists and one group of academic ethicists. It was also presented to a panel on a national current affairs programme. The Framework was then revised on the basis of feedback from these sources and made publicly available online on April 3, ten days after the initial meeting. The framework is published here in full to stimulate ongoing discussion about rapid development of user-friendly clinical ethics resources in ongoing and future pandemics. Springer Singapore 2020-08-25 2020 /pmc/articles/PMC7445717/ /pubmed/32840833 http://dx.doi.org/10.1007/s11673-020-10007-w Text en © Journal of Bioethical Inquiry Pty Ltd. 2020 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Symposium: COVID-19
Dawson, Angus
Isaacs, David
Jansen, Melanie
Jordens, Christopher
Kerridge, Ian
Kihlbom, Ulrik
Kilham, Henry
Preisz, Anne
Sheahan, Linda
Skowronski, George
An Ethics Framework for Making Resource Allocation Decisions Within Clinical Care: Responding to COVID-19
title An Ethics Framework for Making Resource Allocation Decisions Within Clinical Care: Responding to COVID-19
title_full An Ethics Framework for Making Resource Allocation Decisions Within Clinical Care: Responding to COVID-19
title_fullStr An Ethics Framework for Making Resource Allocation Decisions Within Clinical Care: Responding to COVID-19
title_full_unstemmed An Ethics Framework for Making Resource Allocation Decisions Within Clinical Care: Responding to COVID-19
title_short An Ethics Framework for Making Resource Allocation Decisions Within Clinical Care: Responding to COVID-19
title_sort ethics framework for making resource allocation decisions within clinical care: responding to covid-19
topic Symposium: COVID-19
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7445717/
https://www.ncbi.nlm.nih.gov/pubmed/32840833
http://dx.doi.org/10.1007/s11673-020-10007-w
work_keys_str_mv AT dawsonangus anethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT isaacsdavid anethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT jansenmelanie anethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT jordenschristopher anethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT kerridgeian anethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT kihlbomulrik anethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT kilhamhenry anethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT preiszanne anethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT sheahanlinda anethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT skowronskigeorge anethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT dawsonangus ethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT isaacsdavid ethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT jansenmelanie ethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT jordenschristopher ethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT kerridgeian ethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT kihlbomulrik ethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT kilhamhenry ethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT preiszanne ethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT sheahanlinda ethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19
AT skowronskigeorge ethicsframeworkformakingresourceallocationdecisionswithinclinicalcarerespondingtocovid19