Guiding Cardiac Care During the COVID-19 Pandemic: How Ethics Shapes Our Health System Response.
Betacoronavirus
/ isolation & purification
COVID-19
Canada
/ epidemiology
Cardiology Service, Hospital
/ organization & administration
Cardiovascular Diseases
/ epidemiology
Coronavirus Infections
/ epidemiology
Ethics, Institutional
Humans
Infection Control
/ methods
Models, Organizational
Organizational Innovation
Pandemics
/ prevention & control
Patient Care Management
/ ethics
Pneumonia, Viral
/ epidemiology
SARS-CoV-2
Journal
The Canadian journal of cardiology
ISSN: 1916-7075
Titre abrégé: Can J Cardiol
Pays: England
ID NLM: 8510280
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
08
05
2020
revised:
27
05
2020
accepted:
02
06
2020
pubmed:
9
6
2020
medline:
26
8
2020
entrez:
8
6
2020
Statut:
ppublish
Résumé
The COVID-19 pandemic has raised ethical questions for the cardiovascular leader and practitioner. Attention has been redirected from a system that focuses on individual patient benefit toward one that focuses on protecting society as a whole. Challenging resource allocation questions highlight the need for a clearly articulated ethics framework that integrates principled decision making into how different cardiovascular care services are prioritized. A practical application of the principles of harm minimisation, fairness, proportionality, respect, reciprocity, flexibility, and procedural justice is provided, and a model for prioritisation of the restoration of cardiovascular services is outlined. The prioritisation model may be used to determine how and when cardiovascular services should be continued or restored. There should be a focus on an iterative and responsive approach to broader health care system needs, such as other disease groups and local outbreaks.
Identifiants
pubmed: 32505633
pii: S0828-282X(20)30520-1
doi: 10.1016/j.cjca.2020.06.002
pmc: PMC7270812
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1313-1316Informations de copyright
Copyright © 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
Références
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pubmed: 32283124
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