Resource Allocation during an Influenza Pandemic
Identifieur interne : 000489 ( Pmc/Curation ); précédent : 000488; suivant : 000490Resource Allocation during an Influenza Pandemic
Auteurs : Nick F. Phin ; Lindsey DaviesSource :
- Emerging Infectious Diseases [ 1080-6040 ] ; 2008.
Url:
DOI: 10.3201/eid1410.080371
PubMed: 18826850
PubMed Central: 2609899
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Resource Allocation during an Influenza Pandemic</title><author><name sortKey="Phin, Nick F" sort="Phin, Nick F" uniqKey="Phin N" first="Nick F." last="Phin">Nick F. Phin</name></author><author><name sortKey="Davies, Lindsey" sort="Davies, Lindsey" uniqKey="Davies L" first="Lindsey" last="Davies">Lindsey Davies</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18826850</idno><idno type="pmc">2609899</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2609899</idno><idno type="RBID">PMC:2609899</idno><idno type="doi">10.3201/eid1410.080371</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">000489</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000489</idno><idno type="wicri:Area/Pmc/Curation">000489</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000489</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Resource Allocation during an Influenza Pandemic</title><author><name sortKey="Phin, Nick F" sort="Phin, Nick F" uniqKey="Phin N" first="Nick F." last="Phin">Nick F. Phin</name></author><author><name sortKey="Davies, Lindsey" sort="Davies, Lindsey" uniqKey="Davies L" first="Lindsey" last="Davies">Lindsey Davies</name></author></analytic><series><title level="j">Emerging Infectious Diseases</title><idno type="ISSN">1080-6040</idno><idno type="eISSN">1080-6059</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><pmc article-type="letter"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Emerg Infect Dis</journal-id><journal-id journal-id-type="publisher-id">EID</journal-id><journal-title-group><journal-title>Emerging Infectious Diseases</journal-title></journal-title-group><issn pub-type="ppub">1080-6040</issn><issn pub-type="epub">1080-6059</issn><publisher><publisher-name>Centers for Disease Control and Prevention</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">18826850</article-id><article-id pub-id-type="pmc">2609899</article-id><article-id pub-id-type="publisher-id">08-0371</article-id><article-id pub-id-type="doi">10.3201/eid1410.080371</article-id><article-categories><subj-group subj-group-type="heading"><subject>Letters to the Editor</subject></subj-group></article-categories><title-group><article-title>Resource Allocation during an Influenza Pandemic</article-title><alt-title alt-title-type="running-head">Resource Allocation during an Influenza Pandemic</alt-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Phin</surname><given-names>Nick F.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Davies</surname><given-names>Lindsey</given-names></name></contrib><aff id="aff1">Health Protection Agency Centre for Infections, London, UK (N.F. Phin)</aff><aff id="aff2">Department of Health, London (L. Davies)</aff></contrib-group><author-notes><corresp id="cor1">Address for correspondence: Nick F. Phin, Pandemic Influenza Office, Respiratory Diseases Department, Health Protection Agency Centre for Infections, Collindale, London NW9 5EQ, UK; email: <email xlink:href="nick.phin@hpa.org.uk">nick.phin@hpa.org.uk</email></corresp></author-notes><pub-date pub-type="ppub"><month>10</month><year>2008</year></pub-date><volume>14</volume><issue>10</issue><fpage>1676</fpage><lpage>1677</lpage><related-article related-article-type="commentary-article" id="ra1" ext-link-type="pubmed" xlink:href="18325284" vol="14" page="520"><string-name><surname>Paranthaman</surname><given-names>K</given-names> </string-name>, <string-name><surname>Conlon</surname><given-names>CP</given-names> </string-name>, <string-name><surname>Parker</surname><given-names>C</given-names> </string-name>, <string-name><surname>McCarthy</surname><given-names>N</given-names> </string-name>. <article-title>Resource allocation during an influenza pandemic.</article-title><source>Emerg Infect Dis</source>. <year>2008</year>;<volume>14</volume>:<fpage>520</fpage>–<lpage>2</lpage>. <pub-id pub-id-type="doi">10.3201/eid1403.071275</pub-id><pub-id pub-id-type="pmid">18325284</pub-id></related-article><kwd-group kwd-group-type="author"><title>Keywords: </title><kwd>Pandemic influenza</kwd><kwd>resource allocation</kwd><kwd>prioritization</kwd><kwd>letter</kwd></kwd-group></article-meta></front><response id="d31e362" response-type="reply"><front-stub><title-group><article-title>In Response</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Paranthaman</surname><given-names>Karthikeyan</given-names></name></contrib><contrib contrib-type="author"><name><surname>Conlon</surname><given-names>Christopher P.</given-names></name></contrib><contrib contrib-type="author"><name><surname>Parker</surname><given-names>Claire</given-names></name></contrib><contrib contrib-type="author"><name><surname>McCarthy</surname><given-names>Noel</given-names></name></contrib><aff id="aff3">Public Health Department, Oxford, UK (K. Paranthaman)</aff><aff id="aff4">John Radcliffe Hospital, Oxford (C.P. Conlon)</aff><aff id="aff5">Jericho Health Centre, Oxford (C. Parker)</aff><aff id="aff6">Thames Valley Health Protection Unit, Oxford (N. McCarthy)</aff></contrib-group><author-notes><corresp id="cor2">Address for correspondence: Karthikeyan Paranthaman, Public Health Department, Oxford Deanery, Rm 9, Richards Bldg, Headington, Oxford OX3 7LF, UK; email: <email xlink:href="karthikeyan_doc@yahoo.co.uk">karthikeyan_doc@yahoo.co.uk</email></corresp></author-notes></front-stub><body><p>We are grateful to Phin and Davies for providing an update on the pandemic flu planning situation in the United Kingdom (<xref ref-type="bibr" rid="R7"><italic>1</italic></xref>) after publication of our letter (<xref ref-type="bibr" rid="R8"><italic>2</italic></xref>). We agree with their emphasis that pandemic planning in the United Kindgom is in many regards well developed in comparison with other countries. Many of the updates that they describe provide useful contributions but the final version of UK ethical guidance is more a general statement of principles than a practical guide. Unfortunately, it has pulled back from some of the more definite statements in the earlier consultation documents available at the time of our letter.</p><p>An important need for practical guidance for frontline and managerial staff on the ethical aspects of pandemic response remains as a gap in the United Kingdom and elsewhere. For critical care, a useful recent contribution is the report produced by the Task Force on Mass Critical Care, especially the framework for allocation of scarce resources in mass critical care (<xref ref-type="bibr" rid="R9"><italic>3</italic></xref>). The shift away from pandemic influenza–specific criteria to a more generic framework for resource allocation that can compare patients with pandemic influenza and those with other usual noninfluenza conditions is welcome.</p><p>Similar practical approaches outside the critical care area are important priorities for work in pandemic preparedness. In addition, systems must be in place for rapid modification and communication of the criteria for referral and admission, taking into account the severity of the pandemic and availability of healthcare resources. Healthcare services must not only be transparent and fair in this process, they must also be seen by the public as being so. Engagement with the public on values and principles underlying resource allocation would be of paramount importance during a pandemic.</p></body><back><ref-list><title>References</title><ref id="R7"><label>1. </label><mixed-citation publication-type="journal"><string-name><surname>Phin</surname> <given-names>NF</given-names></string-name>, <string-name><surname>Davies</surname> <given-names>L</given-names></string-name> <article-title>Resource allocation during an influenza pandemic</article-title><comment>[letter]</comment> <source>Emerg Infect Dis</source> <year>2008</year>;<volume>14</volume>:<fpage>1676</fpage> <pub-id pub-id-type="doi">10.3201/eid1410.080371</pub-id><pub-id pub-id-type="pmid">18826850</pub-id></mixed-citation></ref><ref id="R8"><label>2. </label><mixed-citation publication-type="journal"><string-name><surname>Paranthaman</surname> <given-names>K</given-names></string-name>, <string-name><surname>Conlon</surname> <given-names>CP</given-names></string-name>, <string-name><surname>Parker</surname> <given-names>C</given-names></string-name>, <string-name><surname>McCarthy</surname> <given-names>N</given-names></string-name> <article-title>Resource allocation during an influenza pandemic.</article-title><source>Emerg Infect Dis</source> <year>2008</year>;<volume>14</volume>:<fpage>520</fpage>–<lpage>2</lpage> <pub-id pub-id-type="doi">10.3201/eid1403.071275</pub-id><pub-id pub-id-type="pmid">18325284</pub-id></mixed-citation></ref><ref id="R9"><label>3. </label><mixed-citation publication-type="web"><string-name><surname>Devereaux</surname> <given-names>AV</given-names></string-name>, <string-name><surname>Dichter</surname> <given-names>JR</given-names></string-name>, <string-name><surname>Christian</surname> <given-names>MD</given-names></string-name>, <string-name><surname>Dubler</surname> <given-names>NN</given-names></string-name>, <string-name><surname>Sandrock</surname> <given-names>CE</given-names></string-name>, <string-name><surname>Hick</surname> <given-names>JL</given-names></string-name>, <etal></etal> Definitive care for the critically ill during a disaster: a framework for allocation of scarce resources in mass critical care. Task Force for Mass Critical Care Summit Meeting, 2007 Jan 26–27. Chicago. Chest. <year>2008</year>:51S–66S [cited 2008 Jun 12]. Available from <ext-link ext-link-type="uri" xlink:href="http://www.chestjournal.org/cgi/content/abstract/133/5_suppl/51S">http://www.chestjournal.org/cgi/content/abstract/133/5_suppl/51S</ext-link></mixed-citation></ref></ref-list></back></response></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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