Promoting equity with a multi-principle framework to allocate scarce ICU resources.

Promoting equity with a multi-principle framework to allocate scarce ICU resources.
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DOI:
10.1136/medethics-2021-107456
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发表时间:
2022-03
影响因子:
4.1
通讯作者:
Lo B
Lo B
中科院分区:
人文科学1区
文献类型:
--
作者:
White D;Lo B

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We wholeheartedly agree with Schmidt and colleagues’ efforts to promote equity in ICU triage. We also take issue with their characterization of the New Jersey allocation framework for ICU beds and ventilators, which is modelled after the multi-principle allocation framework we developed early in the pandemic. They characterize it as a two-criterion allocation framework and claim—without evidence—that it will “compound disadvantage for Black patients”. However, the NJ triage framework—like the model allocation policy we developed—actually contains four allocation criteria: the two criteria that the authors mentioned (chances for survival and near-term prognosis) and two criteria that they failed to mention which we included to promote equity: giving priority to frontline essential workers and giving priority to younger patients. These omissions are problematic both for reasons of factual accuracy and because the two criteria they failed to acknowledge would likely mitigate rather than exacerbate racial disparities during triage.
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通讯作者: DANIELS, N