Practical, Ethical, and Legal Challenges Underlying Crisis Standards of Care
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Auteurs : James G. Hodge Jr. ; Dan Hanfling ; Tia P. PowellSource :
- The Journal of Law, Medicine & Ethics [ 1073-1105 ] ; 2013-03.
English descriptors
- Teeft :
- Additional guidance, Available research, Catastrophic disaster response, Cohesive methodology, Crisis standards, Critical challenges spring, Disaster medicine, Disaster situations, Emergency plan, Emergency preparedness, Excess morbidity, Extensive input, Forthcoming patients, Hcws, Health care personnel, Health emergencies, Hodge, Human services, Independent contractors, Legal challenges, Legal issues, Legal triage, Liability, Liability protections, Local governments, Major emergencies, Medicine ethics hodge, Negligence claims, Pandemic influenza, Practical approaches, Practitioner, Preparedness, Preparedness efforts, Preventive measures, Private actors, Public health, Public health emergencies, Public health preparedness, Report elucidates, Resource allocation, Scarce resources, Systems framework, Volunteer health professionals.
Abstract
Public health emergencies implicate difficult decisions among medical and emergency first responders about how to allocate essential resources. While various actors have proffered approaches on how to make these tough choices, meaningful guidance on shifting standards of care in major emergencies remained lacking. In March 2012, the Institute of Medicine (IOM) released additional guidance to assist facilities and practitioners to address scarce resource allocation through the development of “crisis standards of care” in catastrophes. As discussed in the article, identifying and resolving of complex practical, ethical, and legal challenges underlying real‐time implementation of these standards are indispensable to protecting the public's health.
Url:
DOI: 10.1111/jlme.12039
Affiliations:
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Hodge Jr.</name><affiliation><wicri:noCountry code="no comma">Lincoln Professor of Health Law and Ethics at the Sandra Day O'Connor College of Law at Arizona State University.</wicri:noCountry></affiliation></author><author><name sortKey="Hanfling, Dan" sort="Hanfling, Dan" uniqKey="Hanfling D" first="Dan" last="Hanfling">Dan Hanfling</name><affiliation><wicri:noCountry code="no comma">Special Advisor of Emergency Preparedness and Response at Inova Health System and a Clinical Professor in the Department of Emergency Medicine at George Washington University.</wicri:noCountry></affiliation></author><author><name sortKey="Powell, Tia P" sort="Powell, Tia P" uniqKey="Powell T" first="Tia P." last="Powell">Tia P. Powell</name><affiliation><wicri:noCountry code="no comma">Director of the Montefiore‐Einstein Center for Bioethics and a Professor of Clinical Epidemiology and Clinical Psychiatry at Albert Einstein College of Medicine.</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">The Journal of Law, Medicine & Ethics</title><title level="j" type="sub">SYMPOSIUM: 2012 Public Health Law Conference: Practical Approaches to Critical Challenges</title><title level="j" type="alt">JOURNAL OF LAW MEDICINE ETHICS</title><idno type="ISSN">1073-1105</idno><idno type="eISSN">1748-720X</idno><imprint><biblScope unit="vol">41</biblScope><biblScope unit="issue">s1</biblScope><biblScope unit="page" from="50">50</biblScope><biblScope unit="page" to="55">55</biblScope><biblScope unit="page-count">6</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2013-03">2013-03</date></imprint><idno type="ISSN">1073-1105</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1073-1105</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Additional guidance</term><term>Available research</term><term>Catastrophic disaster response</term><term>Cohesive methodology</term><term>Crisis standards</term><term>Critical challenges spring</term><term>Disaster medicine</term><term>Disaster situations</term><term>Emergency plan</term><term>Emergency preparedness</term><term>Excess morbidity</term><term>Extensive input</term><term>Forthcoming patients</term><term>Hcws</term><term>Health care personnel</term><term>Health emergencies</term><term>Hodge</term><term>Human services</term><term>Independent contractors</term><term>Legal challenges</term><term>Legal issues</term><term>Legal triage</term><term>Liability</term><term>Liability protections</term><term>Local governments</term><term>Major emergencies</term><term>Medicine ethics hodge</term><term>Negligence claims</term><term>Pandemic influenza</term><term>Practical approaches</term><term>Practitioner</term><term>Preparedness</term><term>Preparedness efforts</term><term>Preventive measures</term><term>Private actors</term><term>Public health</term><term>Public health emergencies</term><term>Public health preparedness</term><term>Report elucidates</term><term>Resource allocation</term><term>Scarce resources</term><term>Systems framework</term><term>Volunteer health professionals</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Public health emergencies implicate difficult decisions among medical and emergency first responders about how to allocate essential resources. While various actors have proffered approaches on how to make these tough choices, meaningful guidance on shifting standards of care in major emergencies remained lacking. In March 2012, the Institute of Medicine (IOM) released additional guidance to assist facilities and practitioners to address scarce resource allocation through the development of “crisis standards of care” in catastrophes. As discussed in the article, identifying and resolving of complex practical, ethical, and legal challenges underlying real‐time implementation of these standards are indispensable to protecting the public's health.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Hanfling, Dan" sort="Hanfling, Dan" uniqKey="Hanfling D" first="Dan" last="Hanfling">Dan Hanfling</name><name sortKey="Hodge Jr, James G" sort="Hodge Jr, James G" uniqKey="Hodge Jr J" first="James G." last="Hodge Jr.">James G. Hodge Jr.</name><name sortKey="Powell, Tia P" sort="Powell, Tia P" uniqKey="Powell T" first="Tia P." last="Powell">Tia P. Powell</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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