Matthew K Wynia
Biographic Data
| ID | 5533962 |
|---|---|
| NAME | Matthew K Wynia |
| GIVEN NAMES | Matthew K |
| FAMILY NAME | Wynia |
| SIGNATURE | WYNIA M K |
| AFFILIATIONS | Colorado School of Public Health |
| ORCID | 0000-0003-3307-069X |
| VERIFIED | Yes |
| TOTAL WORKS | 25 |
| TOTAL CITATIONS | 8 |
| AUTHOR COUNT | 25 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2001 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 1 |
When People Facing Dementia Choose to Hasten Death
Some individuals facing dementia contemplate hastening their own death: weighing the possibility of living longer with dementia against the alternative of dying sooner but avoiding the later stages of cognitive and functional impairment. This weighing resonates with an ethical and legal consensus in the United States that individuals can voluntarily choose to forgo life‐sustaining interventions and also that medical professionals can support thes…
A Machine Learning Method for Allocating Scarce Covid-19 Monoclonal Antibodies
This retrospective cohort study proposes and tests a PLT method, which can be linked to a electronic health record data platform to improve real-time allocation of scarce treatments. Use of this PLT-based allocation method would have likely resulted in fewer hospitalizations across a population than were observed in usual care, with greater expected reductions than a commonly used point system
How Should Critical Medications Be Rationed During Shortages
When any drug is in short supply, it must be rationed. Recent increases in the frequency of shortages require more rationing by clinicians. Most health systems have policies on managing drug shortages, but transparency of criteria according to which specific scarce medications should be rationed-and by whom-are rare. The COVID-19 pandemic offered several examples of clinical and ethical need to develop and implement clear, fair strategies for dis…
Past
How should the field of bioethics grapple with a history that includes ethicists who supported eugenics, scientific racism, and even Nazi medicine and also ethicists who created the salutary policy and practice responses to those heinous aspects of medical history? Learning humility from studying historical errors is one path to improvement; finding courage from studying historical strengths is another, but these can be in tension. This commentar…
Crisis Standards of Care—More Than Just a Thought Experiment
As described in two articles in the September‐October 2021 issue of the Hastings Center Report, most crisis standards of care (CSC) plans include triage algorithms to guide the allocation of critical care resources to some patients and not others under conditions of extreme scarcity. The plans also include other important CSC strategies, but it is the notion of rationing scarce resources via triage that especially captured the imaginations of eth…
How Should Clinicians' Involvement in the Holocaust Inform Contemporary Responsibilities to Protect Public Safety
This case and commentary explore health professionals' duties to advocate for individual patients, protect their communities, and navigate conflicts between them. The perils of physicians intentionally harming individuals in misguided attempts to strengthen a community have been illuminated by the Holocaust. It is too simplistic to say, however, that public health can never outweigh individual preferences or even needs. The commentary herein arti…
A Call to Commemorate International Holocaust Remembrance Day, January 27, in All Health Science Schools
This viewpoint proposes why and how Holocaust Remembrance Day, January 27, should be honored in all health professions schools. A public letter, from which this viewpoint is adapted, has been endorsed by over 50 teachers of medicine, ethics, and history
Living Histories of Structural Racism and Organized Medicine
This article reassesses and recontextualizes findings of an independent writing group commissioned in 2005 by what was then known as the Institute for Ethics of the American Medical Association (AMA). The authors were members of this group, which uncovered a paradigm case of structural racism that has perpetuated health inequity since the issue of admitting African Americans was first raised at the AMA's national meetings immediately after the Ci…
Teaching Health Professions Students About the Holocaust
The legacy of health professionals' roles in the Holocaust is fundamental to understanding modern health care ethics, but teaching it is difficult. The University of Colorado Center for Bioethics and Humanities has developed a program that addresses 4 main pedagogical challenges of this content. This article identifies 3 core lessons and proposes 5 specific learning objectives related to health professionals' involvement in the Holocaust for any …
Why Does Medical Participation in the Holocaust Still Matter
A National Framework to Improve Mortality, Morbidity, and Disparities Data for Covid-19 and Other Large-Scale Disasters
Timely and accurate data on COVID-19 cases and COVID-19‒related deaths are essential for making decisions with significant health, economic, and policy implications. A new report from the National Academies of Sciences, Engineering, and Medicine proposes a uniform national framework for data collection to more accurately quantify disaster-related deaths, injuries, and illnesses. This article describes how following the report’s recommendations co…
Scarcity in the Covid‐19 Pandemic
As we write, U.S. cities and states with extensive community transmission of Covid‐19 are in harm's way—not only because of the disease itself but also because of prior and current failures to act. During the 2009 influenza pandemic, public health agencies and hospitals developed but never adequately implemented preparedness plans. Focused on efficiency in a competitive market, health systems had few incentives to maintain stockpiles of essential…
Clinical Image Consent Requirements
The Compassionate Utilitarian
Primary care physicians’ perceptions of practice improvement as a professional responsibility
ABIM: American Board of Internal Medicine; AMA: American Medical Association; CQI: continuous quality improvement; IRB: institutional review board; MOC: Maintenance of Certification; QI: quality improvement
Why It Is Important to Promote Clinical Independence Among Health Professionals Working in Prisons, Jails, and Other Detention Settings
Should Health Professionals Speak Up to Reduce the Health Risks of Climate Change
Should physicians take action in the political realm to address climate change? There are many historical examples of physician advocacy in the political sphere, both individually and as a collective, and many have argued that it is important for health professionals to advocate on a variety of issues. But which criteria should be used to determine when and how health professionals should take on particular advocacy issues, and is climate change …
Ideologically Motivated Violence
Advocate as a Doctor or Advocate as a Citizen
Invoking one’s medical training when presenting an opinion on a topic about which one has no expertise is simply cloaking personal one’s views in the mantle of respectability that being a doctor provides
The Honesty Effect
Anne Barnhill focuses her article in this issue on the American Medical Association's ethics policy governing clinical use of placebos, but the implications of her analysis are deeper, touching on how physicians should make judgments about which interventions to offer patients in the process of shared decision‐making. The bottom line is that, even if an undisclosed placebo might be marginally more effective for a particular patient in the short t…
Segregation, Civil Rights, and Health Disparities
Civil Disobedience
Invoking Therapeutic Privilege
The Patient On a busy Tuesday morning, she arrives looking for help from a specialist in infectious diseases. She has already been to several other experts. First, she tried exterminators. Later she had turned to internists, dermatologists, and even a psychiatrist. None has been of help
Ethical Challenges in Preparing for Bioterrorism
Preparedness for bioterrorism poses significant ethical challenges. Although public health ethics and preparedness have received attention recently, health care ethics must also be considered. In epidemics, the health care system assists public health in 3 tasks: detection, containment, and treatment. Detection might fail if all patients do not have access to care, or if physicians do not understand their obligation to report infectious diseases …
Effects of Different Monetary Incentives on the Return Rate of a National Mail Survey of Physicians
BACKGROUND: Mail surveys of physicians have been characterized by lower response rates than general population surveys, raising concerns about nonresponse bias. Although monetary incentives have routinely been used to improve survey response among physicians, questions remain regarding how much of an incentive is most cost-effective. The present study seeks to further examine the effects of incentive size on response rates to a national mail surv…
Ethical Challenges in Preparing for Bioterrorism
Preparedness for bioterrorism poses significant ethical challenges. Although public health ethics and preparedness have received attention recently, health care ethics must also be considered. In epidemics, the health care system assists public health in 3 tasks: detection, containment, and treatment. Detection might fail if all patients do not have access to care, or if physicians do not understand their obligation to report infectious diseases …
Effects of Different Monetary Incentives on the Return Rate of a National Mail Survey of Physicians
BACKGROUND: Mail surveys of physicians have been characterized by lower response rates than general population surveys, raising concerns about nonresponse bias. Although monetary incentives have routinely been used to improve survey response among physicians, questions remain regarding how much of an incentive is most cost-effective. The present study seeks to further examine the effects of incentive size on response rates to a national mail surv…
Invoking Therapeutic Privilege
The Patient On a busy Tuesday morning, she arrives looking for help from a specialist in infectious diseases. She has already been to several other experts. First, she tried exterminators. Later she had turned to internists, dermatologists, and even a psychiatrist. None has been of help
Ethical Challenges in Preparing for Bioterrorism
Preparedness for bioterrorism poses significant ethical challenges. Although public health ethics and preparedness have received attention recently, health care ethics must also be considered. In epidemics, the health care system assists public health in 3 tasks: detection, containment, and treatment. Detection might fail if all patients do not have access to care, or if physicians do not understand their obligation to report infectious diseases …
Civil Disobedience
Segregation, Civil Rights, and Health Disparities
The Honesty Effect
Anne Barnhill focuses her article in this issue on the American Medical Association's ethics policy governing clinical use of placebos, but the implications of her analysis are deeper, touching on how physicians should make judgments about which interventions to offer patients in the process of shared decision‐making. The bottom line is that, even if an undisclosed placebo might be marginally more effective for a particular patient in the short t…
Advocate as a Doctor or Advocate as a Citizen
Invoking one’s medical training when presenting an opinion on a topic about which one has no expertise is simply cloaking personal one’s views in the mantle of respectability that being a doctor provides
Should Health Professionals Speak Up to Reduce the Health Risks of Climate Change
Should physicians take action in the political realm to address climate change? There are many historical examples of physician advocacy in the political sphere, both individually and as a collective, and many have argued that it is important for health professionals to advocate on a variety of issues. But which criteria should be used to determine when and how health professionals should take on particular advocacy issues, and is climate change …
Ideologically Motivated Violence
The Compassionate Utilitarian
Primary care physicians’ perceptions of practice improvement as a professional responsibility
ABIM: American Board of Internal Medicine; AMA: American Medical Association; CQI: continuous quality improvement; IRB: institutional review board; MOC: Maintenance of Certification; QI: quality improvement
Why It Is Important to Promote Clinical Independence Among Health Professionals Working in Prisons, Jails, and Other Detention Settings
Clinical Image Consent Requirements
Scarcity in the Covid‐19 Pandemic
As we write, U.S. cities and states with extensive community transmission of Covid‐19 are in harm's way—not only because of the disease itself but also because of prior and current failures to act. During the 2009 influenza pandemic, public health agencies and hospitals developed but never adequately implemented preparedness plans. Focused on efficiency in a competitive market, health systems had few incentives to maintain stockpiles of essential…
Crisis Standards of Care—More Than Just a Thought Experiment
As described in two articles in the September‐October 2021 issue of the Hastings Center Report, most crisis standards of care (CSC) plans include triage algorithms to guide the allocation of critical care resources to some patients and not others under conditions of extreme scarcity. The plans also include other important CSC strategies, but it is the notion of rationing scarce resources via triage that especially captured the imaginations of eth…
How Should Clinicians' Involvement in the Holocaust Inform Contemporary Responsibilities to Protect Public Safety
This case and commentary explore health professionals' duties to advocate for individual patients, protect their communities, and navigate conflicts between them. The perils of physicians intentionally harming individuals in misguided attempts to strengthen a community have been illuminated by the Holocaust. It is too simplistic to say, however, that public health can never outweigh individual preferences or even needs. The commentary herein arti…
A Call to Commemorate International Holocaust Remembrance Day, January 27, in All Health Science Schools
This viewpoint proposes why and how Holocaust Remembrance Day, January 27, should be honored in all health professions schools. A public letter, from which this viewpoint is adapted, has been endorsed by over 50 teachers of medicine, ethics, and history
Living Histories of Structural Racism and Organized Medicine
This article reassesses and recontextualizes findings of an independent writing group commissioned in 2005 by what was then known as the Institute for Ethics of the American Medical Association (AMA). The authors were members of this group, which uncovered a paradigm case of structural racism that has perpetuated health inequity since the issue of admitting African Americans was first raised at the AMA's national meetings immediately after the Ci…
Teaching Health Professions Students About the Holocaust
The legacy of health professionals' roles in the Holocaust is fundamental to understanding modern health care ethics, but teaching it is difficult. The University of Colorado Center for Bioethics and Humanities has developed a program that addresses 4 main pedagogical challenges of this content. This article identifies 3 core lessons and proposes 5 specific learning objectives related to health professionals' involvement in the Holocaust for any …
Why Does Medical Participation in the Holocaust Still Matter
A National Framework to Improve Mortality, Morbidity, and Disparities Data for Covid-19 and Other Large-Scale Disasters
Timely and accurate data on COVID-19 cases and COVID-19‒related deaths are essential for making decisions with significant health, economic, and policy implications. A new report from the National Academies of Sciences, Engineering, and Medicine proposes a uniform national framework for data collection to more accurately quantify disaster-related deaths, injuries, and illnesses. This article describes how following the report’s recommendations co…
Past
How should the field of bioethics grapple with a history that includes ethicists who supported eugenics, scientific racism, and even Nazi medicine and also ethicists who created the salutary policy and practice responses to those heinous aspects of medical history? Learning humility from studying historical errors is one path to improvement; finding courage from studying historical strengths is another, but these can be in tension. This commentar…
When People Facing Dementia Choose to Hasten Death
Some individuals facing dementia contemplate hastening their own death: weighing the possibility of living longer with dementia against the alternative of dying sooner but avoiding the later stages of cognitive and functional impairment. This weighing resonates with an ethical and legal consensus in the United States that individuals can voluntarily choose to forgo life‐sustaining interventions and also that medical professionals can support thes…
A Machine Learning Method for Allocating Scarce Covid-19 Monoclonal Antibodies
This retrospective cohort study proposes and tests a PLT method, which can be linked to a electronic health record data platform to improve real-time allocation of scarce treatments. Use of this PLT-based allocation method would have likely resulted in fewer hospitalizations across a population than were observed in usual care, with greater expected reductions than a commonly used point system
How Should Critical Medications Be Rationed During Shortages
When any drug is in short supply, it must be rationed. Recent increases in the frequency of shortages require more rationing by clinicians. Most health systems have policies on managing drug shortages, but transparency of criteria according to which specific scarce medications should be rationed-and by whom-are rare. The COVID-19 pandemic offered several examples of clinical and ethical need to develop and implement clear, fair strategies for dis…
Medicine (18 works) · Political science (15 works) · Law (10 works) · Psychology (10 works) · Ethics in medical practice (8 works) · Health care (6 works) · Law (6 works) · Business (5 works) · Disease (5 works) · Pandemic (5 works)