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10.1016/j.chest.2020.09.246 http://scihub22266oqcxt.onion/10.1016/j.chest.2020.09.246 32991873!7521357!32991873     free     free     free Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Chest 2021 ; 159 (3): 1076-1083 Nephropedia Template TP {{tp|p=32991873|t=2021. Operational Recommendations for Scarce Resource Allocation in a Public Health Crisis |pdf=|usr=}}{{32991873}} gab.com Text Operational Recommendations for Scarce Resource Allocation in a Public Health Crisis JO: Chest http://www.kidney.de/pget.php?&tw=1&pmid=32991873 #FOAvip The coronavirus disease 2019 pandemic may require rationing of various medical resources if demand exceeds supply. Theoretical frameworks for resource allocation have provided much needed ethical guidance, but hospitals still need to address objective practicalities and legal vetting to operationalize scarce resource allocation schemata. To develop operational scarce resource allocation processes for public health catastrophes, including the coronavirus disease 2019 pandemic, five health systems in Maryland formed a consortium-with diverse expertise and representation-representing more than half of all hospitals in the state. Our efforts built on a prior statewide community engagement process that determined the values and moral reference points of citizens and health-care professionals regarding the allocation of ventilators during a public health catastrophe. Through a partnership of health systems, we developed a scarce resource allocation framework informed by citizens' values and by general expert consensus. Allocation schema for mechanical ventilators, ICU resources, blood components, novel therapeutics, extracorporeal membrane oxygenation, and renal replacement therapies were developed. Creating operational algorithms for each resource posed unique challenges; each resource's varying nature and underlying data on benefit prevented any single algorithm from being universally applicable. The development of scarce resource allocation processes must be iterative, legally vetted, and tested. We offer our processes to assist other regions that may be faced with the challenge of rationing health-care resources during public health catastrophes. Twit Text FOAVip Operational Recommendations for Scarce Resource Allocation in a Public Health Crisis ????Chest http://www.kidney.de/pget.php?&tw=1&pmid=32991873 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32991873 #FOAvip English Wikipedia <ref>{{Cite pmid|32991873}}</ref> Operational Recommendations for Scarce Resource Allocation in a Public Health Crisis #MMPMID32991873 Ehmann MR; Zink EK; Levin AB; Suarez JI; Belcher HME; Daugherty Biddison EL; Doberman DJ; D'Souza K; Fine DM; Garibaldi BT; Gehrie EA; Golden SH; Gurses AP; Hill PM; Hughes MT; Kahn JP; Koch CG; Marx JJ; Meisenberg BR; Natterman J; Rushton CH; Sapirstein A; Selinger SR; Stephens RS; Toner ES; Unguru Y; van Stone M; Kachalia A Chest 2021[Mar]; 159 (3): 1076-1083 PMID32991873show ga The coronavirus disease 2019 pandemic may require rationing of various medical resources if demand exceeds supply. Theoretical frameworks for resource allocation have provided much needed ethical guidance, but hospitals still need to address objective practicalities and legal vetting to operationalize scarce resource allocation schemata. To develop operational scarce resource allocation processes for public health catastrophes, including the coronavirus disease 2019 pandemic, five health systems in Maryland formed a consortium-with diverse expertise and representation-representing more than half of all hospitals in the state. Our efforts built on a prior statewide community engagement process that determined the values and moral reference points of citizens and health-care professionals regarding the allocation of ventilators during a public health catastrophe. Through a partnership of health systems, we developed a scarce resource allocation framework informed by citizens' values and by general expert consensus. Allocation schema for mechanical ventilators, ICU resources, blood components, novel therapeutics, extracorporeal membrane oxygenation, and renal replacement therapies were developed. Creating operational algorithms for each resource posed unique challenges; each resource's varying nature and underlying data on benefit prevented any single algorithm from being universally applicable. The development of scarce resource allocation processes must be iterative, legally vetted, and tested. We offer our processes to assist other regions that may be faced with the challenge of rationing health-care resources during public health catastrophes. |*COVID-19/epidemiology/prevention & control/therapy[MESH] |*Health Care Rationing/methods/standards[MESH] |*Health Workforce[MESH] |*Resource Allocation/ethics/organization & administration[MESH] |Change Management[MESH] |Civil Defense/*organization & administration[MESH] |Disaster Planning[MESH] |Humans[MESH] |Intersectoral Collaboration[MESH] |Maryland/epidemiology[MESH] |Public Health/*trends[MESH] |SARS-CoV-2[MESH]Operational Recommendations for Scarce Resource Allocation in a Public(epmc).pdf DeepDyve Pubget Overpricing