Incorporating Stakeholder Perspectives on Scarce Resource Allocation: Lessons Learned from Policymaking in a Time of Crisis.
Camb Q Healthc Ethics
; 30(2): 390-402, 2021 04.
Article
en En
| MEDLINE
| ID: mdl-33764294
ABSTRACT
The coronavirus disease (COVID-19) crisis provoked an organizational ethics dilemma how to develop ethical pandemic policy while upholding our organizational mission to deliver relationship- and patient-centered care. Tasked with producing a recommendation about whether healthcare workers and essential personnel should receive priority access to limited medical resources during the pandemic, the bioethics department and survey and interview methodologists at our institution implemented a deliberative approach that included the perspectives of healthcare professionals and patient stakeholders in the policy development process. Involving the community more, not less, during a crisis required balancing the need to act quickly to garner stakeholder perspectives, uncertainty about the extent and duration of the pandemic, and disagreement among ethicists about the most ethically supportable way to allocate scarce resources. This article explains the process undertaken to garner stakeholder input as it relates to organizational ethics, recounts the stakeholder perspectives shared and how they informed the triage policy developed, and offers suggestions for how other organizations may integrate stakeholder involvement in ethical decision-making as well as directions for future research and public health work.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Participación del Paciente
/
Formulación de Políticas
/
Personal de Salud
/
Asignación de Recursos
/
Ética Institucional
/
COVID-19
Aspecto:
Ethics
/
Patient_preference
Límite:
Humans
Idioma:
En
Revista:
Camb Q Healthc Ethics
Asunto de la revista:
ETICA
Año:
2021
Tipo del documento:
Article