Guiding Cardiac Care During the COVID-19 Pandemic: How Ethics Shapes Our Health System Response.

Publisher: Elsevier Country of Publication: England NLM ID: 8510280 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1916-7075 (Electronic) Linking ISSN: 0828282X NLM ISO Abbreviation: Can J Cardiol Subsets: MEDLINE

Publication: Jan./Feb. 2011- : Oxford, UK : Elsevier
Original Publication: [Oakville, Ont. : Canadian Cardiology Publications Inc., c1984-

Cardiology Service, Hospital*/organization & administration ; Cardiology Service, Hospital*/trends ; Cardiovascular Diseases*/epidemiology ; Cardiovascular Diseases*/therapy ; Coronavirus Infections*/epidemiology ; Coronavirus Infections*/prevention & control ; Ethics, Institutional* ; Pandemics*/prevention & control ; Patient Care Management*/ethics ; Patient Care Management*/methods ; Patient Care Management*/standards ; Pneumonia, Viral*/epidemiology ; Pneumonia, Viral*/prevention & control; Infection Control/*methods; Betacoronavirus/isolation & purification ; COVID-19 ; Canada/epidemiology ; Humans ; Models, Organizational ; Organizational Innovation ; SARS-CoV-2

The COVID-19 pandemic has raised ethical questions for the cardiovascular leader and practitioner. Attention has been redirected from a system that focuses on individual patient benefit toward one that focuses on protecting society as a whole. Challenging resource allocation questions highlight the need for a clearly articulated ethics framework that integrates principled decision making into how different cardiovascular care services are prioritized. A practical application of the principles of harm minimisation, fairness, proportionality, respect, reciprocity, flexibility, and procedural justice is provided, and a model for prioritisation of the restoration of cardiovascular services is outlined. The prioritisation model may be used to determine how and when cardiovascular services should be continued or restored. There should be a focus on an iterative and responsive approach to broader health care system needs, such as other disease groups and local outbreaks.
(Copyright © 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.)

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Date Created: 20200608 Date Completed: 20200825 Latest Revision: 20210110

20250114

PMC7270812

10.1016/j.cjca.2020.06.002

32505633