Incorporating Stakeholder Perspectives on Scarce Resource Allocation: Lessons Learned from Policymaking in a Time of Crisis

The coronavirus disease (COVID-19) crisis provoked an organizational ethics dilemma: how to develop ethical pandemic policy while upholding our organizational mission to deliver relationship- and patient-centered care. Tasked with producing a recommendation about whether healthcare workers and essen...

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Authors: Bruno, Bethany (Author) ; Hurwitz, Heather Mckee (Author) ; Mercer, Marybeth (Author) ; Mabel, Hilary (Author) ; Sankary, Lauren (Author) ; Morley, Georgina (Author) ; Ford, Paul J. (Author) ; Horsburgh, Cristie Cole (Author) ; Rose, Susannah L. (Author)
Format: Electronic Article
Language:English
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Published: Cambridge Univ. Press 2021
In: Cambridge quarterly of healthcare ethics
Year: 2021, Volume: 30, Issue: 2, Pages: 390-402
Further subjects:B scarce resource allocation
B pandemic planning
B Organizational Ethics
B stakeholder input
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520 |a The coronavirus disease (COVID-19) crisis provoked an organizational ethics dilemma: how to develop ethical pandemic policy while upholding our organizational mission to deliver relationship- and patient-centered care. Tasked with producing a recommendation about whether healthcare workers and essential personnel should receive priority access to limited medical resources during the pandemic, the bioethics department and survey and interview methodologists at our institution implemented a deliberative approach that included the perspectives of healthcare professionals and patient stakeholders in the policy development process. Involving the community more, not less, during a crisis required balancing the need to act quickly to garner stakeholder perspectives, uncertainty about the extent and duration of the pandemic, and disagreement among ethicists about the most ethically supportable way to allocate scarce resources. This article explains the process undertaken to garner stakeholder input as it relates to organizational ethics, recounts the stakeholder perspectives shared and how they informed the triage policy developed, and offers suggestions for how other organizations may integrate stakeholder involvement in ethical decision-making as well as directions for future research and public health work. 
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