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Review
. 2021 Aug 30:2021:10.31478/202108e.
doi: 10.31478/202108e. eCollection 2021.

Crisis Standards of Care and COVID-19: What Did We Learn? How Do We Ensure Equity? What Should We Do?

John L Hick  1 , Dan Hanfling  2 , Matthew K Wynia  3 , Eric Toner  4
Affiliations
Review

Crisis Standards of Care and COVID-19: What Did We Learn? How Do We Ensure Equity? What Should We Do?

John L Hick et al. NAM Perspect. .
No abstract available

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Conflict of interest statement

Conflict-of-Interest Disclosures: Dr. Wynia reports receiving grants from ASPR and NIH (CTSA).

Figures

FIGURE 1
FIGURE 1. Examples of Graduated Changes Across the Care Continuum
SOURCE: Developed by authors. NOTE: Examples only. Does not represent all potential adjustments. Increasing risk for poor patient outcome as changes implemented from top to bottom. Regional agreement on what constitutes ‘significant risk’ and therefore crisis conditions is needed to facilitate communications, resource distribution, and guide response strategy.
FIGURE 2
FIGURE 2. Key Domains and Requirements in Crisis Standards of Care
SOURCE: Developed by authors.
See this image and copyright information in PMC

References

    1. National Academies of Science, Engineering, and Medicine. Rapid expert consultation on crisis standards of care for the COVID-19 pandemic (March 28, 2020) Washington, DC: The National Academies Press; 2021. - DOI - PubMed
    1. Manchanda EC, Couillard C, Sivashanker K. Inequity in crisis standards of care. New England Journal of Medicine. 2020;383(4):e16. doi: 10.1056/NEJMp2011359. - DOI - PubMed
    1. Kosar CM, White EM, Feifer RA, Blackman C, Gravenstein S, Panagiotou OA, McConeghy K, Mor V. COVID-19 mortality rates among nursing home residents declined from March to November 2020. Health Affairs. 2021;40(4):655–663. doi: 10.1377/hlthaff.2020.02191. - DOI - PMC - PubMed
    1. Singh GK, Lin CCC. Area deprivation and inequalities in health and health care outcomes. Annals of Internal Medicine. 2019;171(2):131–132. doi: 10.7326/M19-1510. - DOI - PubMed
    1. Gould E, Wilson V. Economic Policy Institute. 2020. [August 25, 2021]. Black workers face two of the most lethal preexisting conditions for coronavirus—racism and economic inequality. https://www.epi.org/publication/black-workers-covid/

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