Pandemic Ventilator Rationing and Appeals Processes
Identifieur interne : 000891 ( Pmc/Corpus ); précédent : 000890; suivant : 000892Pandemic Ventilator Rationing and Appeals Processes
Auteurs : Daniel Patrone ; David ResnikSource :
- Health care analysis : HCA : journal of health philosophy and policy [ 1065-3058 ] ; 2011.
Abstract
In a severe influenza pandemic, hospitals will likely experience serious and widespread shortages of patient pulmonary ventilators and of staff qualified to operate them. Deciding who will receive access to mechanical ventilation will often determine who lives and who dies. This prospect raises an important question whether pandemic preparedness plans should include some process by which individuals affected by ventilator rationing would have the opportunity to appeal adverse decisions. However, the issue of appeals processes to ventilator rationing decisions has been largely neglected in state pandemic planning efforts. If we are to devise just and effective plans for coping with a severe influenza pandemic, more attention to the issue of appeals processes for pandemic ventilator rationing decisions is needed. Arguments for and against appeals processes are considered, and some suggestions are offered to help efforts at devising more rational pandemic preparedness plans.
Url:
DOI: 10.1007/s10728-010-0148-6
PubMed: 20354793
PubMed Central: 3954608
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PMC:3954608Le document en format XML
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<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9432537</journal-id><journal-id journal-id-type="pubmed-jr-id">21319</journal-id><journal-id journal-id-type="nlm-ta">Health Care Anal</journal-id><journal-id journal-id-type="iso-abbrev">Health Care Anal</journal-id><journal-title-group><journal-title>Health care analysis : HCA : journal of health philosophy and policy</journal-title></journal-title-group><issn pub-type="ppub">1065-3058</issn><issn pub-type="epub">1573-3394</issn></journal-meta><article-meta><article-id pub-id-type="pmid">20354793</article-id><article-id pub-id-type="pmc">3954608</article-id><article-id pub-id-type="doi">10.1007/s10728-010-0148-6</article-id><article-id pub-id-type="manuscript">NIHMS561130</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Pandemic Ventilator Rationing and Appeals Processes</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Patrone</surname><given-names>Daniel</given-names></name><aff id="A1">Union Graduate College/Mt. Sinai School of Medicine, 807 Union Street, Humanities Building 020, Schenectady, NY 12038, USA</aff></contrib><contrib contrib-type="author"><name><surname>Resnik</surname><given-names>David</given-names></name><aff id="A2">National Institute of Environmental Health Sciences, National Institutes of Health, Research Triangle Park, NC, USA</aff></contrib></contrib-group><author-notes><corresp id="CR1">D. Patrone <email>dpatrone@gmail.com</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>7</day><month>3</month><year>2014</year></pub-date><pub-date pub-type="ppub"><month>6</month><year>2011</year></pub-date><pub-date pub-type="pmc-release"><day>14</day><month>3</month><year>2014</year></pub-date><volume>19</volume><issue>2</issue><fpage>165</fpage><lpage>179</lpage><pmc-comment>elocation-id from pubmed: 10.1007/s10728-010-0148-6</pmc-comment>
<permissions><copyright-statement>© US Government 2010</copyright-statement><copyright-year>2010</copyright-year></permissions><abstract><p id="P1">In a severe influenza pandemic, hospitals will likely experience serious and widespread shortages of patient pulmonary ventilators and of staff qualified to operate them. Deciding who will receive access to mechanical ventilation will often determine who lives and who dies. This prospect raises an important question whether pandemic preparedness plans should include some process by which individuals affected by ventilator rationing would have the opportunity to appeal adverse decisions. However, the issue of appeals processes to ventilator rationing decisions has been largely neglected in state pandemic planning efforts. If we are to devise just and effective plans for coping with a severe influenza pandemic, more attention to the issue of appeals processes for pandemic ventilator rationing decisions is needed. Arguments for and against appeals processes are considered, and some suggestions are offered to help efforts at devising more rational pandemic preparedness plans.</p></abstract><kwd-group><kwd>Appeals processes</kwd><kwd>Ethics</kwd><kwd>Justice</kwd><kwd>Pandemic influenza</kwd><kwd>Ventilator rationing</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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