Navigation Links
Who should be saved? Study gets diverse MD community views on healthcare disaster planning

BALTIMOREIn the event of a flu pandemic, who should have priority access to life-saving ventilators, and who should make that determination? Few disaster preparedness plans have taken community values regarding allocation into account, but a new study is aiming to change that through public engagement with Maryland residents.

"In the event of a healthcare crisis, understanding the community perspective and having citizen buy-in will be critical to avoid compounding the initial disaster with further social upheaval," says principal investigator Elizabeth L. Daugherty Biddison, MD, MPH, Vice Chair for Clinical Operations in the Department of Medicine, Johns Hopkins School of Medicine.

"When life-saving medical resources become scarce, there are no ideal options, even among ethically-permissible ones. Understanding community perspectives and values will help policy-makers craft guidelines for those difficult choices," Biddison says.

To gain this perspective, Biddison and colleagues from the Johns Hopkins Berman Institute of Bioethics, Carnegie Mellon University and University of Pittsburgh Medical Center are exploring the use of "deliberative democratic methods" typically employed to understand how the public views potential policy changes. A pilot study consisted of two community meetings; one in affluent Howard County, which ranks top among the state's county health rankings, and the other in a neighborhood near Johns Hopkins Hospital in inner Baltimore City, which ranks last. The results were published online ahead of print in April in the Annals of the American Thoracic Society.

"We found that participants' ethical perspectives were framed in large part by their place-based life experiences," says Ruth R. Faden, PhD, MPH, director of the Johns Hopkins Berman Institute of Bioethics, a member of the study team. "Our results thus far underscore the importance of broad and diverse community input, to capture more fully the issues that matter to people of various backgrounds."

The community meetings followed the same procedures used to gather information on views related to controversial policy issues including marriage equality, regional tax sharing, and economic redevelopment. According to the study results, the Baltimore City group spent significant time discussing whether particular groups should be disqualified from access to ventilators, such as convicted felons and undocumented immigrants. The study authors connect these concerns directly to crime-rate and demographic trends in the area.

Members of the Howard County community group were recruited by a private-public partnership focused on strengthening local resilience to disasters, and focused on logistical concerns. According to the study, "County residents struggled with the implementation timeframe required by different approaches: would someone die without a ventilator while decision-makers were still making up their minds? County residents also expressed greater concern about the potential for bias in decision making."

Regarding the differences in focus between the two groups, the study states, "[T]he differences reflected distinct ways of thinking about the issues. This finding underscores the importance of achieving a diverse, regionally varied sample of Marylanders" for the project's planned expansion across the state. With such diverse feedback from citizens, "health authorities and elected officials will be better prepared both to shape and to communicate the content of Maryland's future framework in meaningful ways," the study concludes.

Biddison says that the state-wide expansion of the study will include at least 10 forums, five for general community members and five for healthcare professionals. The results will be shared with Maryland health officials for practical application to the state's policy on healthcare resource allocation in the event of a disaster.


Contact: Leah Ramsay
Johns Hopkins Medicine

Related medicine news :

1. Canada should play a role in addressing the global cancer epidemic
2. New standards for treating traumatic shoulder injuries to improve patient care
3. Should oxygen be used for patients with chronic heart failure?
4. Men Can Still Ask for PSA Test, and Some Should, Doctors Say
5. Canada should significantly increase its funding of randomized clinical trials
6. Routine care for Crohns disease in children should include measurement of bone age
7. Older Women Should Not Take Calcium, Vitamin D: Task Force
8. Guidelines Issued for When Docs Should Order Vascular Testing
9. Presidential candidates should address childhood obesity and bullying, poll says
10. KORT Physical Therapist Says Shoulder Pain Shouldn’t Be Ignored
11. Ethics should drive health policy reform, especially with physician-owned specialty hospitals
Post Your Comments:
(Date:6/26/2016)... Charlotte, NC (PRWEB) , ... June 26, 2016 , ... Brent Kasmer, a legally blind ... able to be personalized through a fitness app. The fitness app plans to fix the ... solutions currently only offer a one size fits all type program , They ...
(Date:6/25/2016)... , ... June 25, 2016 , ... The temporary closing of Bruton Memorial Library on ... Observer , brings up a new, often overlooked aspect of head lice: the parasite’s ability ... fumigation is not a common occurrence, but a necessary one in the event that lice ...
(Date:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin ... injury. Recently, he has implemented orthobiologic procedures as a method for treating his ... of the first doctors to perform the treatment. Orthobiologics are substances that orthopaedic ...
(Date:6/24/2016)... , ... June 24, 2016 , ... Those who have ... these feelings, many turn to unhealthy avenues, such as drug or alcohol abuse, as ... Michigan, has released tools for healthy coping following a traumatic event. , Trauma sufferers ...
(Date:6/24/2016)... ... 24, 2016 , ... Global law firm Greenberg Traurig, P.A. announced that 20 ... by their peers for this recognition are considered among the top 2 percent of ... honors as members of this year’s Legal Elite Hall of Fame: Miami Shareholders ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016  Consumers have taken ... regulators/payers have placed more emphasis on patient outcomes. ... support programs in the pharmaceutical industry have evolved ... Consequently, pharmaceutical companies are focusing on becoming more ... providing products and services that improve health. ...
(Date:6/24/2016)... SAN FRANCISCO, Calif. , June 24, 2016 ... GBT ), a biopharmaceutical company developing novel therapeutics ... significant unmet needs, today announced the closing of ... shares of common stock, at the public offering ... shares in the offering were offered by GBT. ...
(Date:6/24/2016)... Dublin - ... " Global Markets for Spectroscopy Equipment" report ... This report focuses on the global market of ... applications in various applications. The report deals with spectroscopy ... industries: pharmaceutical and biotechnology, food and beverage, and environmental ...
Breaking Medicine Technology: