ArticleBMC health services research2004
SARS and hospital priority setting: a qualitative case study and evaluation.
Article in BMC health services research, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impact of restricted family presence during the COVID-19 pandemic on critically ill patients, families, and critical care clinicians: a qualitative systematic review.BMC health services research · 2024Pooled it
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- Ethical challenges and dilemmas in the rationing of health commodities and provision of high-risk clinical services during COVID-19 pandemic in Ethiopia: the experiences of frontline health workers.Philosophy, ethics, and humanities in medicine : PEHM · 2023Article
- Engaging social media users with attitudinal messages during health crisis communication.Lingua. International review of general linguistics. Revue internationale de linguistique generale · 2022Article
- Variations in colorectal cancer surgery practice across the United Kingdom during the COVID-19 pandemic - 'Every land has its own law'.The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland · 2021Article
- From General Principles to Procedural Values: Responsible Digital Health Meets Public Health Ethics.Frontiers in digital health · 2021Article
- US Clinicians' Experiences and Perspectives on Resource Limitation and Patient Care During the COVID-19 Pandemic.JAMA network open · 2020Article
- Applying the precautionary principle to personal protective equipment (PPE) guidance during the COVID-19 pandemic: did we learn the lessons of SARS?Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2020Article
- Laypersons' Priority-Setting Preferences for Allocating a COVID-19 Patient to a Ventilator: Does a Diagnosis of Alzheimer's Disease Matter?Clinical interventions in aging · 2020Article
- Mapping infectious disease hospital surge threats to lessons learnt in Singapore: a systems analysis and development of a framework to inform how to DECIDE on planning and response strategies.BMC health services research · 2017Article
- The critical care response to a hospital outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infection: an observational study.Annals of intensive care · 2016Article
- Setting Healthcare Priorities at the Macro and Meso Levels: A Framework for Evaluation.International journal of health policy and management · 2015Review
- Setting healthcare priorities in hospitals: a review of empirical studies.Health policy and planning · 2015Review
- Fairness and legitimacy of decisions during delivery of malaria services and ITN interventions in Zambia.Malaria journal · 2010Article
- Transparency during public health emergencies: from rhetoric to reality.Bulletin of the World Health Organization · 2009Article
- Priority setting: what constitutes success? A conceptual framework for successful priority setting.BMC health services research · 2009Article
- Principles versus procedures in making health care coverage decisions: addressing inevitable conflicts.Theoretical medicine and bioethics · 2008Article
- Pandemic influenza preparedness: an ethical framework to guide decision-making.BMC medical ethics · 2006Article
- Priority setting in developing countries health care institutions: the case of a Ugandan hospital.BMC health services research · 2006Article
- What gets measured gets done: an assessment of local data uses and needs in large urban health departments.Journal of public health management and practice : JPHMPArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPriority setting is one of the most difficult issues facing hospitals because of funding restrictions and changing patient need. A deadly communicable disease outbreak, such as the Severe Acute Respiratory Syndrome (SARS) in Toronto in 2003, amplifies the difficulties of hospital priority setting. The purpose of this study is to describe and evaluate priority setting in a hospital in response to SARS using the ethical framework 'accountability for reasonableness'.
methodsThis study was conducted at a large tertiary hospital in Toronto, Canada. There were two data sources: 1) over 200 key documents (e.g. emails, bulletins), and 2) 35 interviews with key informants. Analysis used a modified thematic technique in three phases: open coding, axial coding, and evaluation.
resultsParticipants described the types of priority setting decisions, the decision making process and the reasoning used. Although the hospital leadership made an effort to meet the conditions of 'accountability for reasonableness', they acknowledged that the decision making was not ideal. We described good practices and opportunities for improvement.
conclusions'Accountability for reasonableness' is a framework that can be used to guide fair priority setting in health care organizations, such as hospitals. In the midst of a crisis such as SARS where guidance is incomplete, consequences uncertain, and information constantly changing, where hour-by-hour decisions involve life and death, fairness is more important rather than less.
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