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Structural Inequities, Fair Opportunity, and the Allocation of Scarce ICU Resources

Bibliographic Data

ID20333346
AuthorsDouglas B White (0000-0003-2269-4173), Bernard Lo (0000-0001-6210-9667)
Year2021
Volume51
Issue5
Pages42-47
Publication date2021-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe Hastings Center Report (JOURNAL)
Journal identifiersISSN: 0093-0334 • E-ISSN: 1552-146X
PublisherWiley (PUBLISHER • GB)
DOI10.1002/hast.1285
PMID34529848
OpenAlexW3200706667
LanguageEN
Citations received1
References cited14

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 supported by public reasoning . The article by MaryKatherine Gaurke and colleagues criticizes rationing based on maximizing life‐years saved and mistakenly claims that our framework recommended this approach. We explain that our framework never contained such a criterion but instead included a more limited consideration of near‐term prognosis. In December 2020, in response to emerging data and important criticisms, we modified our framework to further strengthen equity. We are committed to improving allocation guidelines during crisis standards of care through reflective discussions and debates

Actuarial science · Coronavirus disease 2019 (COVID-19) · Economic growth · Economics · Equity (law) · Health care · Health care rationing · Infectious disease (medical specialty) · Management · Medical emergency · Microeconomics · Pandemic · Political science · Public relations · Rationing · Resource allocation · Scarcity · Sociology · Triage · Disaster Management and Resilience · Disaster Response and Management · Emergency and Acute Care Studies · Law · Medicine

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    Douglas B White, Bernard Lo•JAMA•2020

  • Making Neighborhood-Disadvantage Metrics Accessible — The Neighborhood Atlas

    Amy Kind, Amy J H Kind et al.•New England Journal of Medicine•2018

  • Promoting equity with a multi-principle framework to allocate scarce ICU resources

    Douglas B White, Bernard Lo•Journal of Medical Ethics•2022

  • Life‐Years & Rationing in the Covid‐19 Pandemic

    Open Access•MaryKatherine Gaurke, Bernard Prusak et al.•The Hastings Center Report•2021

  • The University of California Crisis Standards of Care

    Open Access•Alex Rajczi, Judith Daar et al.•The Hastings Center Report•2021

  • Health Care Resource Prioritization and Rationing

    Dan W Brock•Social research•2007

Unique citing works1
Citations per year0,33
Citation span2023 - 2023 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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