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- Title
Practical, Ethical, and Legal Challenges Underlying Crisis Standards of Care.
- Authors
Hodge, James G.; Hanfling, Dan; Powell, Tia P.
- Abstract
Public health emergencies implicate difficult decisions among medical and emergency first responders about how to allocate essential resources. While various actors have proffered approaches on how to make these tough choices, meaningful guidance on shifting standards of care in major emergencies remained lacking. In March 2012, the Institute of Medicine (IOM) released additional guidance to assist facilities and practitioners to address scarce resource allocation through the development of 'crisis standards of care' in catastrophes. As discussed in the article, identifying and resolving of complex practical, ethical, and legal challenges underlying real-time implementation of these standards are indispensable to protecting the public's health.
- Subjects
UNITED States; PUBLIC health laws; LEGISLATION; EMERGENCIES; EMERGENCY management; NATIONAL Academy of Medicine (U.S.); LEGAL status of first responders; EMERGENCY medical service laws; EMERGENCY medical services; DECISION making methodology; CONCEPTUAL structures; HEALTH care rationing; PUBLIC health; ETHICS; STANDARDS
- Publication
Journal of Law, Medicine & Ethics, 2013, Vol 41, p50
- ISSN
1073-1105
- Publication type
Article
- DOI
10.1111/jlme.12039