Evidence map›Paper›PMID 35777960›Full record

ArticleJournal of medical ethics2024

Staffing crisis capacity: a different approach to healthcare resource allocation for a different type of scarce resource.

Catherine R Butler, Laura B Webster, Douglas S Diekema

Abstract read
In one paragraph

Article in Journal of medical ethics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Exploring nudging strategies for plant-based dietary choices in hospital patients: a quasi-experimental study.The international journal of behavioral nutrition and physical activity · 2025
    Article
  4. Article
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

3 authors.

Catherine R ButlerDivision of Nephrology, Department of Medicine, University of Washington, Seattle, Washington, USA cathb@uw.edu.ORCID 0000-0001-9174-8038
Laura B WebsterBioethics Progam, Virginia Mason Medical Center, Seattle, Washington, USA.
Douglas S DiekemaDepartment of Pediatrics, University of Washington School of Medicine, Seattle, Washington, USA.

Funding

Strengthening Shared Decision-Making for Older Adults with Kidney Failure Considering Kidney TransplantK23DK129777 · NIDDK · UNIVERSITY OF WASHINGTON · PI Catherine R Butler · 2022 to 2026
$930k
NIDDK NIH HHS K23 DK129777
6 · The paper itself

Abstract

Severe staffing shortages have emerged as a prominent threat to maintaining usual standards of care during the COVID-2019 pandemic. In dire settings of crisis capacity, healthcare systems assume the ethical duty to maximise aggregate population-level benefit of existing resources. To this end, existing plans for rationing mechanical ventilators and intensive care unit beds in crisis capacity focus on selecting individual patients who are most likely to survive and prioritising these patients to receive scarce resources. However, staffing capacity is conceptually different from availability of these types of discrete resources, and the existing strategy of identifying and prioritising patients with the best prognosis cannot be readily adapted to fit this real-world scenario. We propose that two alternative approaches to staffing resource allocation offer a better conceptual fit: (1)

Indexed as

COVID-19Health Care RationingPersonnel Staffing and SchedulingSARS-CoV-2Health WorkforceHumansIntensive Care UnitsPandemicsResource AllocationCOVID-19policyresource allocation

Identifiers

PMID35777960
PMCPMC9844994

What OpenQuestion holds

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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.