Protecting our Elders and Developing Equitable Policies During Public Health Emergencies: Ethical Recommendations.

IF 1.1 Q4 GERIATRICS & GERONTOLOGY

Current Geriatrics Reports Pub Date : 2021-01-01 Epub Date: 2021-11-05 DOI:10.1007/s13670-021-00368-4

Elizabeth Chuang, Shena Gazaway, Erin R Harrell, Ronit Elk

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引用次数: 1

Abstract

Purpose of the review: Experiences of patients, families, healthcare workers and health systems during the COVID-19 pandemic and recent national focus on racial justice have forced a reconsideration of policies and processes of providing care in crisis situations when resources are scarce. The purpose of this review is to present recent developments in conceptualizing ethical crisis standards.

Recent findings: Several recent papers have raised concerns that "objective" scarce resource allocation protocols will serve to exacerbate underlying social inequities. Older adults and their formal and informal caregivers suffered from intersecting planning failures including lack of adequate stockpiling of personal protective equipment, failure to protect essential workers, neglect of long-term care facilities and homecare in disaster planning and de-prioiritization in triage algorithms.

Summary: Revision of disaster planning guidelines is urgent. The time is now to apply lessons learned from COVID-19 before another disaster occurs. We present several suggestions for future plans.

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在突发公共卫生事件中保护老年人和制定公平政策:伦理建议。

审查目的:2019冠状病毒病大流行期间患者、家属、卫生保健工作者和卫生系统的经验，以及最近国家对种族正义的关注，迫使人们重新考虑在资源稀缺的危机局势中提供护理的政策和程序。本综述的目的是介绍伦理危机标准概念化的最新发展。最近的发现:最近的几篇论文提出了“客观的”稀缺资源分配协议将加剧潜在的社会不平等的担忧。老年人及其正式和非正式照顾者遭受规划失误的困扰，包括缺乏足够的个人防护装备储备，未能保护关键工作人员，在灾害规划中忽视长期护理设施和家庭护理，以及在分诊算法中优先次序下降。摘要:修订灾害规划指南迫在眉睫。现在是时候在另一场灾难发生之前应用从COVID-19中吸取的经验教训了。我们对未来的计划提出了几点建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Geriatrics Reports Medicine-Geriatrics and Gerontology

CiteScore

2.20

自引率

0.00%

发文量

期刊介绍： This journal aims to offer in-depth review articles on the most recent innovative publications in geriatrics and gerontology. By providing clear, insightful contributions by international experts, the journal intends to serve clinicians and researchers involved in the diagnosis, management, treatment, prevention, and study of patients affected by age-related conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as the age-related change in cognitive function, the influence of genetics on neurodegenerative disorders, and traumatic brain injury and dementia. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board of more than 20 members reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. We also provide commentaries from well-known figures in the field.