Article ; Online: Balancing the Needs of Acute and Maintenance Dialysis Patients during the COVID-19 Pandemic: A Proposed Ethical Framework for Dialysis Allocation.
Clinical journal of the American Society of Nephrology : CJASN
2021 Volume 16, Issue 7, Page(s) 1122–1130
Abstract: ... of allocating dialysis resources for both patients receiving acute and maintenance dialysis has not previously ... in Canada, engaged patients, doctors, ethicists, administrators, and nurses to develop a framework ... The COVID-19 pandemic continues to strain health care systems and drive shortages in medical ...
| Abstract | The COVID-19 pandemic continues to strain health care systems and drive shortages in medical supplies and equipment around the world. Resource allocation in times of scarcity requires transparent, ethical frameworks to optimize decision making and reduce health care worker and patient distress. The complexity of allocating dialysis resources for both patients receiving acute and maintenance dialysis has not previously been addressed. Using a rapid, collaborative, and iterative process, BC Renal, a provincial network in Canada, engaged patients, doctors, ethicists, administrators, and nurses to develop a framework for addressing system capacity, communication challenges, and allocation decisions. The guiding ethical principles that underpin this framework are ( |
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| MeSH term(s) | COVID-19/epidemiology ; Health Personnel ; Health Services Needs and Demand ; Humans ; Renal Dialysis/ethics ; Resource Allocation ; SARS-CoV-2 ; Triage | |||||
| Language | English | |||||
| Publishing date | 2021-02-08 | |||||
| Publishing country | United States | |||||
| Document type | Journal Article | |||||
| ZDB-ID | 2226665-3 | |||||
| ISSN | 1555-905X ; 1555-9041 | |||||
| ISSN (online) | 1555-905X | |||||
| ISSN | 1555-9041 | |||||
| DOI | 10.2215/CJN.07460520 | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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