COVID-19 Ethics Debrief: Pearls and Pitfalls of a Hub and Spoke Model.

Geppert, Cynthia Ma; Berkowitz, Kenneth A; Schonfeld, Toby; Tarzian, Anita J

Geppert, Cynthia Ma; Berkowitz, Kenneth A; Schonfeld, Toby; Tarzian, Anita J.

Afiliação

Geppert CM; Health Care Ethicist and Director of Ethics Education, VHA National Center for Ethics in Health Care, U.S. Department of Veterans Affairs, Washington, District of Columbia USA. Cynthia.geppert@va.gov.
Berkowitz KA; Senior Ethicist, VHA National Center for Ethics in Health Care, and Co-Chair of the EHRM Ethics Council, Associate Professor of Medicine and Population Health (Ethics), New York University School of Medicine, New York, New York USA. Kenneth.berkowitz@va.gov.
Schonfeld T; Executive Director, VHA National Center for Ethics in Health Care, Washington, District of Columbia USA. Toby.schonfeld@va.gov.
Tarzian AJ; Deputy Executive Director, VHA National Center for Ethics in Health Care, Wasington, District of Columbia USA. anita.tarzian@va.gov.

J Clin Ethics ; 33(1): 63-68, 2022.

Article em En | MEDLINE | ID: mdl-35302521

RESUMO

A hub and spoke model offers an effective and efficient approach to providing informed guidance to those who need it. The National Center for Ethics in Health Care (NCEHC) at the Veterans Health Administration, Department of Veterans Affairs, is the largest known hub and spoke healthcare ethics delivery model. In this article, we describe ways NCEHC's hub and spoke configuration succeeded during the COVID-19 pandemic, as well as limitations of the model and possible improvements to inform adoption at other healthcare systems.

Assuntos

COVID-19; Atenção à Saúde; Humanos; Pandemias

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