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10.1515/jpm-2020-0174 http://scihub22266oqcxt.onion/10.1515/jpm-2020-0174 32374289!ä!32374289 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 225.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       J+Perinat+Med 2020 ; 48 (5): 435-437 Nephropedia Template TP {{tp|p=32374289|t=2020. Expanding the concept of the professional integrity of obstetrics during a public health emergency |pdf=|usr=}}{{32374289}} gab.com Text Expanding the concept of the professional integrity of obstetrics during a public health emergency JO: J Perinat Med http://www.kidney.de/pget.php?&tw=1&pmid=32374289 #FOAvip The coronavirus disease 2019 (COVID-19) pandemic has placed great demands on many hospitals to maximize their capacity to care for affected patients. The requirement to reassign space has created challenges for obstetric services. We describe the nature of that challenge for an obstetric service in New York City. This experience raised an ethical challenge: whether it would be consistent with professional integrity to respond to a public health emergency with a plan for obstetric services that would create an increased risk of rare maternal mortality. We answered this question using the conceptual tools of professional ethics in obstetrics, especially the professional virtue of integrity. A public health emergency requires frameshifting from an individual-patient perspective to a population-based perspective. We show that an individual-patient-based, beneficence-based deliberative clinical judgment is not an adequate basis for organizational policy in response to a public health emergency. Instead, physicians, especially those in leadership positions, must frameshift to population-based clinical ethical judgment that focuses on reduction of mortality as much as possible in the entire population of patients served by a healthcare organization. Twit Text FOAVip Expanding the concept of the professional integrity of obstetrics during a public health emergency ????J Perinat Med http://www.kidney.de/pget.php?&tw=1&pmid=32374289 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32374289 #FOAvip English Wikipedia <ref>{{Cite pmid|32374289}}</ref> Expanding the concept of the professional integrity of obstetrics during a public health emergency #MMPMID32374289 Chervenak FA; Grunebaum A; Bornstein E; Wasden S; Katz A; Rochelson BL; McCullough LB J Perinat Med 2020[Jun]; 48 (5): 435-437 PMID32374289show ga The coronavirus disease 2019 (COVID-19) pandemic has placed great demands on many hospitals to maximize their capacity to care for affected patients. The requirement to reassign space has created challenges for obstetric services. We describe the nature of that challenge for an obstetric service in New York City. This experience raised an ethical challenge: whether it would be consistent with professional integrity to respond to a public health emergency with a plan for obstetric services that would create an increased risk of rare maternal mortality. We answered this question using the conceptual tools of professional ethics in obstetrics, especially the professional virtue of integrity. A public health emergency requires frameshifting from an individual-patient perspective to a population-based perspective. We show that an individual-patient-based, beneficence-based deliberative clinical judgment is not an adequate basis for organizational policy in response to a public health emergency. Instead, physicians, especially those in leadership positions, must frameshift to population-based clinical ethical judgment that focuses on reduction of mortality as much as possible in the entire population of patients served by a healthcare organization. |*Betacoronavirus[MESH] |*Coronavirus Infections/therapy[MESH] |*Pandemics[MESH] |*Pneumonia, Viral/therapy[MESH] |*Public Health[MESH] |Beneficence[MESH] |COVID-19[MESH] |Emergencies[MESH] |Female[MESH] |Health Care Rationing/ethics/organization & administration[MESH] |Health Services Accessibility/*ethics/organization & administration[MESH] |Humans[MESH] |Maternal Health Services/*ethics/organization & administration[MESH] |New York City[MESH] |Obstetrics and Gynecology Department, Hospital/*ethics/organization & administration[MESH] |Obstetrics/*ethics[MESH] |Pregnancy[MESH]Expanding the concept of the professional integrity of obstetrics duri(epmc).pdf DeepDyve Pubget Overpricing