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Tytuł:
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Getting Real: The Maryland Healthcare Ethics Committee Network's COVID-19 Working Group Debriefs Lessons Learned.
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Autorzy:
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Elson N; Adventist HealthCare, Gaithersburg, MD, USA.
Gwon H; Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
Hoffmann DE; University of Maryland Carey School of Law, Baltimore, MD, USA.
Kelmenson AM; Faculty of Medicine, Department of Bioethics, The Chinese University of Hong Kong, Shatin, New Territories, HKSAR, China.
Khan A; University of Maryland Medical Center, Baltimore, MD, USA.
Kraus JF; Johns Hopkins University School of Medicine (Retired), Baltimore, MD, USA.
Onyegwara CC; Holy Cross Hospital, Silver Spring, MD, USA.
Povar G; GWU School of Medicine and Health Sciences, Washington, DC, USA.
Sheikh F; Johns Hopkins University, School of Medicine, Baltimore, MD, USA.
Tarzian AJ; Maryland Healthcare Ethics Committee Network, University of Maryland Carey School of Law, Baltimore, MD, USA. .
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Źródło:
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HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues [HEC Forum] 2021 Jun; Vol. 33 (1-2), pp. 91-107. Date of Electronic Publication: 2021 Feb 13.
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Typ publikacji:
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Journal Article
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Język:
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English
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Imprint Name(s):
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Publication: Dordrecht : Springer Netherlands
Original Publication: New York : Pergamon Press, c1989-
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MeSH Terms:
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Ethics Committees*
COVID-19/*prevention & control
Delivery of Health Care/*ethics
Resource Allocation/*ethics
COVID-19/epidemiology ; Humans ; Maryland/epidemiology ; Pandemics ; SARS-CoV-2
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References:
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HEC Forum. 2006 Mar;18(1):85-94. (PMID: 17076131)
N Engl J Med. 2020 Jul 30;383(5):e26. (PMID: 32427433)
N Engl J Med. 2020 Sep 3;383(10):994. (PMID: 32649078)
Chest. 2018 Jan;153(1):187-195. (PMID: 28802695)
Afr J Prim Health Care Fam Med. 2020 Jun 15;12(1):e1-e3. (PMID: 32634003)
Ann Am Thorac Soc. 2014 Jun;11(5):777-83. (PMID: 24762135)
Ann Intern Med. 2020 Aug 4;173(3):188-194. (PMID: 32330224)
Am J Bioeth. 2020 Jul;20(7):133-135. (PMID: 32716811)
Front Public Health. 2020 Jul 21;8:403. (PMID: 32850605)
CMAJ. 2001 May 29;164(11):1583-7. (PMID: 11402800)
Chest. 2021 Mar;159(3):1076-1083. (PMID: 32991873)
J Racial Ethn Health Disparities. 2021 Aug;8(4):824-836. (PMID: 32789816)
N Engl J Med. 2020 Jul 16;383(3):201-203. (PMID: 32374952)
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Contributed Indexing:
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Keywords: COVID-19; Community; Ethics committee; Pandemic; Resource allocation; Triage
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Entry Date(s):
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Date Created: 20210214 Date Completed: 20210423 Latest Revision: 20240404
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Update Code:
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20240404
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PubMed Central ID:
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PMC7882050
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DOI:
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10.1007/s10730-021-09442-y
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PMID:
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33582886
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Responding to a major pandemic and planning for allocation of scarce resources (ASR) under crisis standards of care requires coordination and cooperation across federal, state and local governments in tandem with the larger societal infrastructure. Maryland remains one of the few states with no state-endorsed ASR plan, despite having a plan published in 2017 that was informed by public forums across the state. In this article, we review strengths and weaknesses of Maryland's response to COVID-19 and the role of the Maryland Healthcare Ethics Committee Network (MHECN) in bridging gaps in the state's response to prepare health care facilities for potential implementation of ASR plans. Identified "lessons learned" include: Deliberative Democracy Provided a Strong Foundation for Maryland's ASR Framework; Community Consensus is Informative, Not Normative; Hearing Community Voices Has Inherent Value; Lack of Transparency & Political Leadership Gaps Generate a Fragmented Response; Pandemic Politics Requires Diplomacy & Persistence; Strong Leadership is Needed to Avoid Implementing ASR … And to Plan for ASR; An Effective Pandemic Response Requires Coordination and Information-Sharing Beyond the Acute Care Hospital; and The Ability to Correct Course is Crucial: Reconsidering No-visitor Policies.
