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Published on :  | By Daniel Orenstein

Ethics, Law & Policy Roundup: Space, Staff, and Supplies

TESTING: Tennessee is taking a bold approach to testing for COVID-19, making testing available to any person who wants it, even without symptoms or specific exposure risks. Test shortages have led most states to limit availability, but Tennessee’s approach has Read More
Published on :  | By Daniel Orenstein

Ethics, Law & Policy Roundup: Resource Allocation and Triage

Resource allocation and disability rights: Growing consensus against categorical exclusions There is growing consensus among ethical, legal, health policy experts that protocols for triage or allocation of scarce resources during a public health emergency must be improved to ensure they Read More
Published on :  | By Daniel Orenstein

Ethics, Law & Policy Roundup: Health Care Workforce

Ethical Challenges: Protecting patients and providers The COVID-19 pandemic poses significant ethical challenges for health care professionals, including nurses, who represent the largest share of the global health care workforce. While facing the danger of infection is an accepted part Read More
This New England Journal of Medicine article argues that “color-blind” crisis standards of care (CSC) plans fail to account for disproportionate burdens on communities of color and risk exacerbating existing health inequities. Existing state CSC plans often explicitly reject consideration Read More
This article assesses ethical challenges during a public health emergency that necessitates shifting from optimizing care for every individual to care that saves the most lives. The article focuses on three ethical problems from the perspective of cardiovascular care: halting Read More
This article reviews existing guidance for ICU triage decisions during a public health emergency that overwhelms available ICU capacity and proposes an algorithm intended to facilitate rapid implementation and assessment. The authors propose a triage algorithm intended to prioritize saving Read More
This article is a companion manuscript to the American Geriatrics Society (AGS) official position statement on resource allocation strategies and age-related considerations, developed by the AGS Ethics Committee in collaboration with others. The AGS position statement relies on a view Read More
Published on :  | By Daniel Orenstein

Review: Clinician perspectives on implementation of crisis standards of care

This article reports the results of focus group and key informant interviews with clinicians regarding changes in their roles, identities, duties, and decision-making autonomy that may result from the need to implement crisis standards of care (CSC) during disaster triage, Read More
This editorial compares approaches in several European nations to triage of scarce critical care resources, such as ventilators. Specifically, it summarizes and contrasts provisions from plans adopted in Italy, Switzerland, Austria, Germany, the United Kingdom, and Belgium across a set Read More
Published on :  | By Daniel Orenstein

Review: A disability-inclusive response to COVID-19

This United Nations policy brief addresses the impact of COVID-19 on pre-existing inequalities and the need for inclusion of persons with disabilities. The brief emphasizes the need to ensure that persons with disabilities are fully included in COVID-19 response and Read More

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