Pandemic ventilator rationing and appeals processes.
Identifieur interne : 001400 ( PubMed/Corpus ); précédent : 001399; suivant : 001401Pandemic ventilator rationing and appeals processes.
Auteurs : Daniel Patrone ; David ResnikSource :
- Health care analysis : HCA : journal of health philosophy and policy [ 1573-3394 ] ; 2011.
English descriptors
- KwdEn :
- Decision Making, Disaster Planning (legislation & jurisprudence), Health Care Rationing (legislation & jurisprudence), Health Planning (legislation & jurisprudence), Humans, Influenza, Human (epidemiology), Influenza, Human (therapy), Pandemics, Ventilators, Mechanical (statistics & numerical data).
- MESH :
- epidemiology : Influenza, Human.
- legislation & jurisprudence : Disaster Planning, Health Care Rationing, Health Planning.
- statistics & numerical data : Ventilators, Mechanical.
- therapy : Influenza, Human.
- Decision Making, Humans, Pandemics.
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.
DOI: 10.1007/s10728-010-0148-6
PubMed: 20354793
Links to Exploration step
pubmed:20354793Le document en format XML
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Sinai School of Medicine, Schenectady, NY 12038, USA. dpatrone@gmail.com</nlm:affiliation></affiliation></author><author><name sortKey="Resnik, David" sort="Resnik, David" uniqKey="Resnik D" first="David" last="Resnik">David Resnik</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2011">2011</date><idno type="RBID">pubmed:20354793</idno><idno type="pmid">20354793</idno><idno type="doi">10.1007/s10728-010-0148-6</idno><idno type="wicri:Area/PubMed/Corpus">001400</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001400</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Pandemic ventilator rationing and appeals processes.</title><author><name sortKey="Patrone, Daniel" sort="Patrone, Daniel" uniqKey="Patrone D" first="Daniel" last="Patrone">Daniel Patrone</name><affiliation><nlm:affiliation>Union Graduate College/Mt. Sinai School of Medicine, Schenectady, NY 12038, USA. dpatrone@gmail.com</nlm:affiliation></affiliation></author><author><name sortKey="Resnik, David" sort="Resnik, David" uniqKey="Resnik D" first="David" last="Resnik">David Resnik</name></author></analytic><series><title level="j">Health care analysis : HCA : journal of health philosophy and policy</title><idno type="eISSN">1573-3394</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Decision Making</term><term>Disaster Planning (legislation & jurisprudence)</term><term>Health Care Rationing (legislation & jurisprudence)</term><term>Health Planning (legislation & jurisprudence)</term><term>Humans</term><term>Influenza, Human (epidemiology)</term><term>Influenza, Human (therapy)</term><term>Pandemics</term><term>Ventilators, Mechanical (statistics & numerical data)</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="legislation & jurisprudence" xml:lang="en"><term>Disaster Planning</term><term>Health Care Rationing</term><term>Health Planning</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Ventilators, Mechanical</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Decision Making</term><term>Humans</term><term>Pandemics</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">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.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20354793</PMID><DateCompleted><Year>2011</Year><Month>12</Month><Day>02</Day></DateCompleted><DateRevised><Year>2019</Year><Month>10</Month><Day>08</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1573-3394</ISSN><JournalIssue CitedMedium="Internet"><Volume>19</Volume><Issue>2</Issue><PubDate><Year>2011</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Health care analysis : HCA : journal of health philosophy and policy</Title><ISOAbbreviation>Health Care Anal</ISOAbbreviation></Journal><ArticleTitle>Pandemic ventilator rationing and appeals processes.</ArticleTitle><Pagination><MedlinePgn>165-79</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s10728-010-0148-6</ELocationID><Abstract><AbstractText>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. 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