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Crisis Standards of Care—More Than Just a Thought Experiment

Bibliographic Data

ID20337989
AuthorsAnuj B Mehta, Anuj Mehta (0000-0002-8993-6803), Matthew K Wynia (0000-0003-3307-069X)
Year2021
Volume51
Issue5
Pages53-55
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.1288
PMID34529853
OpenAlexW3199165627
LanguageEN
References cited5

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 ethicists. Vigorous arguments have arisen over whether triage algorithms should be designed to prioritize patients based on predictions of short‐, near‐, or long‐term survival. Additionally, there are ongoing debates about the ability of current algorithms to estimate patient survival accurately enough to be useful in triage and about the role of values like equity in triage protocols. Relatively few debates have noted, however, that while the development of CSC triage protocols has been based in medicine, public health, and ethics, the activation of CSC plans remains a political decision

Coronavirus disease 2019 (COVID-19) · Disease · Economics · Equity (law) · Health care · Health care rationing · Medical emergency · Pandemic · Pathology · Political science · Politics · Public relations · Rationing · Scarcity · Triage · Disaster Management and Resilience · Disaster Response and Management · Emergency and Acute Care Studies · Law · Medicine · Psychology

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Citation velocityhistorical
Highly citedNo

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