ArticleBMC public health2012
Priority setting of ICU resources in an influenza pandemic: a qualitative study of the Canadian public's perspectives.
Article in BMC public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ethical values and principles to guide the fair allocation of resources in response to a pandemic: a rapid systematic review.BMC medical ethics · 2022Pooled it
- Public voices on tie-breaking criteria and underlying values in COVID-19 triage protocols to access critical care: a scoping review.Discover health systems · 2023Article
- Community preferences for the allocation of scarce healthcare resources during the COVID-19 pandemic: a review of the literature.Public health · 2022Review
- A framework for critical care triage during a major surge in critical illness.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022Article
- "It's Very Stressful for Children": Elementary School-Aged Children's Psychological Wellbeing during COVID-19 in Canada.Children (Basel, Switzerland) · 2021Article
- Fair prioritization of casualties in disaster triage: a qualitative study.BMC emergency medicine · 2021Article
- Global change of surgical and oncological clinical practice in urology during early COVID-19 pandemic.World journal of urology · 2021Observational
- The perceived deservingness of COVID-19 healthcare in the Netherlands: a conjoint experiment on priority access to intensive care and vaccination.BMC public health · 2021Article
- Allocation of intensive care resources during an infectious disease outbreak: a rapid review to inform practice.BMC medicine · 2020Review
- Which factors should be included in triage? An online survey of the attitudes of the UK general public to pandemic triage dilemmas.BMJ open · 2020Article
- Ethical dilemmas due to the Covid-19 pandemic.Annals of intensive care · 2020Review
- Influence of Community and Culture in the Ethical Allocation of Scarce Medical Resources in a Pandemic Situation: Deliberative Democracy Study.Journal of participatory medicine · 2020Article
- The Critical Care Society of Southern Africa Consensus Statement on ICU Triage and Rationing (ConICTri).The Southern African journal of critical care : the official journal of the Critical Care Society · 2019Article
- Effect of deliberation on the public's attitudes toward consent policies for biobank research.European journal of human genetics : EJHG · 2018Article
- Public's Views toward Return of Secondary Results in Genomic Sequencing: It's (Almost) All about the Choice.Journal of genetic counseling · 2017Article
- "With human health it's a global thing": Canadian perspectives on ethics in the global governance of an influenza pandemic.Journal of bioethical inquiry · 2015Article
- In defense of (some) altered standards of care for Ebola infections in developed countries.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2015Article
- Strategies to Inform Allocation of Stockpiled Ventilators to Healthcare Facilities During a Pandemic.Health securityArticle
- Choosing which COVID-19 patient to save? The ethical triage and rationing dilemma.Ethics, medicine, and public healthReview
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPandemic influenza may exacerbate existing scarcity of life-saving medical resources. As a result, decision-makers may be faced with making tough choices about who will receive care and who will have to wait or go without. Although previous studies have explored ethical issues in priority setting from the perspective of clinicians and policymakers, there has been little investigation into how the public views priority setting during a pandemic influenza, in particular related to intensive care resources.
methodsTo bridge this gap, we conducted three public town hall meetings across Canada to explore Canadian's perspectives on this ethical challenge. Town hall discussions group discussions were digitally recorded, transcribed, and analyzed using thematic analysis.
resultsSix interrelated themes emerged from the town hall discussions related to: ethical and empirical starting points for deliberation; criteria for setting priorities; pre-crisis planning; in-crisis decision-making; the need for public deliberation and input; and participants' deliberative struggle with the ethical issues.
conclusionsOur findings underscore the importance of public consultation in pandemic planning for sustaining public trust in a public health emergency. Participants appreciated the empirical and ethical uncertainty of decision-making in an influenza pandemic and demonstrated nuanced ethical reasoning about priority setting of intensive care resources in an influenza pandemic. Policymakers may benefit from a better understanding the public's empirical and ethical 'starting points' in developing effective pandemic plans.
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Registered trials
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.