Literature DB >> 35210584

Patient traits shape health-care stakeholders' choices on how to best allocate life-saving care.

Charles Crabtree1, John B Holbein2, J Quin Monson3.   

Abstract

During global pandemics, health-care decision makers often face critical shortages of life-saving medical equipment. How do medical stakeholders prioritize which patients are most deserving of scarce treatment? We report the results of three conjoint experiments conducted in the United States in 2020, testing for biases in US physicians', citizens' and elected politicians' preferences for scarce ventilator distribution. We found that all stakeholders prioritized younger patients and patients who had a higher probability of surviving with ventilator access. When patients' survivability was tied, physicians prioritized patients from racial/ethnic minorities (that is, Asian, Black and Hispanic patients) over all-else-equal white patients, religious minorities (that is, Muslim patients) over religious majority group members (that is, Catholic patients) and patients of lower socio-economic status over wealthier patients. The public also prioritized Black and Hispanic patients over white patients but were biased against religious minorities (that is, Atheist and Muslim patients) relative to religious majority group members. Elected politicians were also biased against Atheist patients. Our effects varied by political party-with Republican physicians, politicians and members of the public showing bias against religious minority patients and Democratic physicians showing preferential treatment of racial and religious minorities. Our results suggest that health-care stakeholders' personal biases impact decisions on who deserves life-saving medical equipment.
© 2022. The Author(s), under exclusive licence to Springer Nature Limited.

Entities:  

Mesh:

Year:  2022        PMID: 35210584     DOI: 10.1038/s41562-021-01280-9

Source DB:  PubMed          Journal:  Nat Hum Behav        ISSN: 2397-3374


  58 in total

1.  Critical Supply Shortages - The Need for Ventilators and Personal Protective Equipment during the Covid-19 Pandemic.

Authors:  Megan L Ranney; Valerie Griffeth; Ashish K Jha
Journal:  N Engl J Med       Date:  2020-03-25       Impact factor: 91.245

2.  A Framework for Rationing Ventilators and Critical Care Beds During the COVID-19 Pandemic.

Authors:  Douglas B White; Bernard Lo
Journal:  JAMA       Date:  2020-05-12       Impact factor: 56.272

3.  Potential Legal Liability for Withdrawing or Withholding Ventilators During COVID-19: Assessing the Risks and Identifying Needed Reforms.

Authors:  I Glenn Cohen; Andrew M Crespo; Douglas B White
Journal:  JAMA       Date:  2020-05-19       Impact factor: 56.272

4.  The Toughest Triage - Allocating Ventilators in a Pandemic.

Authors:  Robert D Truog; Christine Mitchell; George Q Daley
Journal:  N Engl J Med       Date:  2020-03-23       Impact factor: 91.245

5.  Alternatives to Invasive Ventilation in the COVID-19 Pandemic.

Authors:  Bhakti K Patel; John P Kress; Jesse B Hall
Journal:  JAMA       Date:  2020-07-07       Impact factor: 56.272

6.  Global resource shortages during COVID-19: Bad news for low-income countries.

Authors:  Devon E McMahon; Gregory A Peters; Louise C Ivers; Esther E Freeman
Journal:  PLoS Negl Trop Dis       Date:  2020-07-06

Review 7.  Challenges and solutions in meeting up the urgent requirement of ventilators for COVID-19 patients.

Authors:  Karthikeyan Iyengar; Shashi Bahl; Abhishek Vaish
Journal:  Diabetes Metab Syndr       Date:  2020-05-05

Review 8.  The need for ventilators in the developing world: An opportunity to improve care and save lives.

Authors:  Vijay Krishnamoorthy; Monica S Vavilala; Charles N Mock
Journal:  J Glob Health       Date:  2014-06       Impact factor: 4.413

9.  Ventilator Sharing during an Acute Shortage Caused by the COVID-19 Pandemic.

Authors:  Jeremy R Beitler; Aaron M Mittel; Richard Kallet; Robert Kacmarek; Dean Hess; Richard Branson; Murray Olson; Ivan Garcia; Barbara Powell; David S Wang; Jonathan Hastie; Oliver Panzer; Daniel Brodie; Laureen L Hill; B Taylor Thompson
Journal:  Am J Respir Crit Care Med       Date:  2020-08-15       Impact factor: 21.405

View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.