Evidence map›Paper›PMID 17144926›Full record

ArticleBMC medical ethics2006

Pandemic influenza preparedness: an ethical framework to guide decision-making.

Alison K Thompson, Karen Faith, Jennifer L Gibson, Ross E G Upshur

Abstract read
In one paragraph

Article in BMC medical ethics, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

100 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Commercial determinants of health: an ethical exploration.International journal of public health · 2020
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  11. Methods for safely sharing dual-use genetic data.Frontiers in microbiology · 2026
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40 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Alison K ThompsonCentre for Research on Inner City Health, St, Michael's Hospital, 30 Bond Street, Toronto, Ontario, M5B 1W8, Canada. thompsonal@smh.toronto.on.ca.
Karen Faith
Jennifer L Gibson
Ross E G Upshur

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlanning for the next pandemic influenza outbreak is underway in hospitals across the world. The global SARS experience has taught us that ethical frameworks to guide decision-making may help to reduce collateral damage and increase trust and solidarity within and between health care organisations. Good pandemic planning requires reflection on values because science alone cannot tell us how to prepare for a public health crisis. DISCUSSION: In this paper, we present an ethical framework for pandemic influenza planning. The ethical framework was developed with expertise from clinical, organisational and public health ethics and validated through a stakeholder engagement process. The ethical framework includes both substantive and procedural elements for ethical pandemic influenza planning. The incorporation of ethics into pandemic planning can be helped by senior hospital administrators sponsoring its use, by having stakeholders vet the framework, and by designing or identifying decision review processes. We discuss the merits and limits of an applied ethical framework for hospital decision-making, as well as the robustness of the framework. SUMMARY: The need for reflection on the ethical issues raised by the spectre of a pandemic influenza outbreak is great. Our efforts to address the normative aspects of pandemic planning in hospitals have generated interest from other hospitals and from the governmental sector. The framework will require re-evaluation and refinement and we hope that this paper will generate feedback on how to make it even more robust.

Indexed as

Disaster PlanningEthical AnalysisHospitalsCoercionDecision MakingDecision Making, OrganizationalDisease OutbreaksEthics, InstitutionalHospital AdministratorsHumansInfluenza, HumanMoral ObligationsPersonnel, HospitalPrivacyPublic HealthResource AllocationAnalytical ApproachHealth Care and Public Health

Identifiers

PMID17144926
PMCPMC1698926

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.