Douglas B White
Biographic Data
| ID | 8307749 |
|---|---|
| NAME | Douglas B White |
| GIVEN NAMES | Douglas B |
| FAMILY NAME | White |
| SIGNATURE | WHITE D B |
| AFFILIATIONS | University of Pittsburgh |
| ORCID | 0000-0003-2269-4173 |
| VERIFIED | Yes |
| TOTAL WORKS | 10 |
| TOTAL CITATIONS | 4 |
| AUTHOR COUNT | 10 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2004 |
| LATEST PUBLICATION YEAR | 2024 |
| H-INDEX | 1 |
How Seeking Transfer Often Fails to Help Define Medically Inappropriate Treatment
On September 1, 2023, Texas made important revisions to it its decades‐old statute granting legal safe harbor immunity to physicians who withhold or withdraw life‐sustaining treatment over the objection of critically ill patients’ surrogate decision‐makers. However, lawmakers left untouched glaring flaws in a key safeguard for patients—the transfer option. The transfer option is ethically important because, when no hospital is willing to accept t…
Weighted Lottery to Equitably Allocate Scarce Supply of Covid-19 Monoclonal Antibody
The findings of this quality improvement study suggest an ADI-weighted lottery process to allocate scarce resources is feasible in a large health system and resulted in more drug allocation to and receipt of drug by individuals who reside in disadvantaged neighborhoods. Although the ADI-weighted lottery also resulted in more drug allocation to Black individuals compared with an unweighted process, they were less likely to accept allocation and re…
Promoting equity with a multi-principle framework to allocate scarce ICU resources
We wholeheartedly agree with Schmidt and colleagues’ efforts to promote equity in intensive care unit (ICU) triage. We also take issue with their characterisation of the New Jersey (NJ) allocation framework for ICU beds and ventilators, which is modelled after the multi-principle allocation framework we developed early in the pandemic. They characterise it as a two-criterion allocation framework and claim—without evidence—that it will ‘compound d…
Structural Inequities, Fair Opportunity, and the Allocation of Scarce ICU Resources
The September‐October 2021 issue of the Hastings Center Report highlights the important topic of allocating scarce critical care resources during the Covid‐19 pandemic. The article by Alex Rajczi and colleagues urges that policy‐makers use public reasoning, not private reasoning, when developing triage policies. We completely agree. We show how the allocation framework we developed as private scholars, the “Pittsburgh framework,” has been support…
The Association Between Area Deprivation Index and Patient-Reported Outcomes in Patients with Advanced Cancer
Background: This analysis describes associations between area deprivation and patient-reported outcomes among patients with advanced cancer. Methods: This is a cross-sectional analysis of baseline data from a multisite primary palliative care intervention trial. Participants were adult patients with advanced cancer. Patient-level area deprivation scores were calculated using the Area Deprivation Index (ADI). Quality of life and symptom burden wer…
A Framework for Rationing Ventilators and Critical Care Beds During the Covid-19 Pandemic
Hospital Capacity and Operations in the Coronavirus Disease 2019 (COVID-19) Pandemic—Planning for the Nth Patient
Surgeons, Intensivists, and Discretion to Refuse Requested Treatments
Physicians are expected to engage patients as partners in identifying the possible benefits and harms associated with treatment options and selecting from among medically appropriate treatment options, rather than simply dictating what treatments patients will and will not receive. This collaborative model reflects the recognition that citizens in multicultural societies have diverse values and are likely to have different views about whether the…
Conducting Clinical Research during Disasters
On an early summer morning, a 7.8-magnitude earthquake devastated the northwestern United States. Homes and commercial dwellings were rendered uninhabitable, and the local medical infrastructure was overwhelmed with critically ill and injured patients. A large fire originating in a local warehouse spread to numerous surrounding structures, afflicting many workers with smoke exposure as well as acute lung injury (ALI) resulting from smoke inhalati…
Exploring the Impacts of Ballot Box Land Use Measures on Affordable Housing
Throughout the U.S., increasing land use regulation via ballot box measures is being addressed. It appears that ballot box land use measures to pass land use regulation change can lead to delays in the land development process. These delays have been found to increase transaction costs, cause uncertainty in the development process, and lead to a reduction in the number of new single-unit homes being constructed. One of the major concerns is that …
Weaknesses in Current Measures of Housing Needs
Defining housing affordability presents issues in measurement that have implications for housing policy. Measures of housing affordability are generally based on assumptions on what should be paid for housing. In establishing standards in this way, as in the 30% of income standard used with HUD programs, a single measure is imposed on an entire population and the most severe needs requiring intervention may be missed. Differences may exist across…
Weaknesses in Current Measures of Housing Needs
Defining housing affordability presents issues in measurement that have implications for housing policy. Measures of housing affordability are generally based on assumptions on what should be paid for housing. In establishing standards in this way, as in the 30% of income standard used with HUD programs, a single measure is imposed on an entire population and the most severe needs requiring intervention may be missed. Differences may exist across…
Weaknesses in Current Measures of Housing Needs
Defining housing affordability presents issues in measurement that have implications for housing policy. Measures of housing affordability are generally based on assumptions on what should be paid for housing. In establishing standards in this way, as in the 30% of income standard used with HUD programs, a single measure is imposed on an entire population and the most severe needs requiring intervention may be missed. Differences may exist across…
Exploring the Impacts of Ballot Box Land Use Measures on Affordable Housing
Throughout the U.S., increasing land use regulation via ballot box measures is being addressed. It appears that ballot box land use measures to pass land use regulation change can lead to delays in the land development process. These delays have been found to increase transaction costs, cause uncertainty in the development process, and lead to a reduction in the number of new single-unit homes being constructed. One of the major concerns is that …
Conducting Clinical Research during Disasters
On an early summer morning, a 7.8-magnitude earthquake devastated the northwestern United States. Homes and commercial dwellings were rendered uninhabitable, and the local medical infrastructure was overwhelmed with critically ill and injured patients. A large fire originating in a local warehouse spread to numerous surrounding structures, afflicting many workers with smoke exposure as well as acute lung injury (ALI) resulting from smoke inhalati…
Surgeons, Intensivists, and Discretion to Refuse Requested Treatments
Physicians are expected to engage patients as partners in identifying the possible benefits and harms associated with treatment options and selecting from among medically appropriate treatment options, rather than simply dictating what treatments patients will and will not receive. This collaborative model reflects the recognition that citizens in multicultural societies have diverse values and are likely to have different views about whether the…
A Framework for Rationing Ventilators and Critical Care Beds During the Covid-19 Pandemic
Hospital Capacity and Operations in the Coronavirus Disease 2019 (COVID-19) Pandemic—Planning for the Nth Patient
Structural Inequities, Fair Opportunity, and the Allocation of Scarce ICU Resources
The September‐October 2021 issue of the Hastings Center Report highlights the important topic of allocating scarce critical care resources during the Covid‐19 pandemic. The article by Alex Rajczi and colleagues urges that policy‐makers use public reasoning, not private reasoning, when developing triage policies. We completely agree. We show how the allocation framework we developed as private scholars, the “Pittsburgh framework,” has been support…
The Association Between Area Deprivation Index and Patient-Reported Outcomes in Patients with Advanced Cancer
Background: This analysis describes associations between area deprivation and patient-reported outcomes among patients with advanced cancer. Methods: This is a cross-sectional analysis of baseline data from a multisite primary palliative care intervention trial. Participants were adult patients with advanced cancer. Patient-level area deprivation scores were calculated using the Area Deprivation Index (ADI). Quality of life and symptom burden wer…
Promoting equity with a multi-principle framework to allocate scarce ICU resources
We wholeheartedly agree with Schmidt and colleagues’ efforts to promote equity in intensive care unit (ICU) triage. We also take issue with their characterisation of the New Jersey (NJ) allocation framework for ICU beds and ventilators, which is modelled after the multi-principle allocation framework we developed early in the pandemic. They characterise it as a two-criterion allocation framework and claim—without evidence—that it will ‘compound d…
Weighted Lottery to Equitably Allocate Scarce Supply of Covid-19 Monoclonal Antibody
The findings of this quality improvement study suggest an ADI-weighted lottery process to allocate scarce resources is feasible in a large health system and resulted in more drug allocation to and receipt of drug by individuals who reside in disadvantaged neighborhoods. Although the ADI-weighted lottery also resulted in more drug allocation to Black individuals compared with an unweighted process, they were less likely to accept allocation and re…
How Seeking Transfer Often Fails to Help Define Medically Inappropriate Treatment
On September 1, 2023, Texas made important revisions to it its decades‐old statute granting legal safe harbor immunity to physicians who withhold or withdraw life‐sustaining treatment over the objection of critically ill patients’ surrogate decision‐makers. However, lawmakers left untouched glaring flaws in a key safeguard for patients—the transfer option. The transfer option is ethically important because, when no hospital is willing to accept t…
Medicine (7 works) · Economic growth (6 works) · Economics (5 works) · Computer Science (4 works) · Disaster Response and Management (4 works) · Intensive care medicine (4 works) · Law (4 works) · Medical emergency (4 works) · Political science (4 works) · Actuarial science (3 works)