Allocation of Scarce Resources in a Pandemic: A Systematic Review of US State Crisis Standards of Care Documents

• 2020

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• Douglas Romney; Hannah Fox; Stephanie Carlson; Daniel Bachmann; Donal O'Mathuna; Nicholas Kman
PMID: 32295662DOI: https://doi.org/10.1017%2Fdmp.2020.101

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About

This article reviews U.S. state crisis standards of care (CSC) documents for handling scarce resources during pandemics. It describes how 31 states have plans, with some focusing on all hazards and others on pandemic influenza. Five states—Arizona, Colorado, Minnesota, Nevada, and Vermont—have comprehensive plans meeting key elements like ethics and legal guidelines. The review highlights the importance of clear indicators for action and evidence-based processes in these plans to ensure fair resource allocation during crises like COVID-19. It emphasizes the need for more consistent planning across all states to improve disaster response efforts.

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Tags

Focus Area: Infectious Disease

Audiences: Emergency Managers; Physicians; Public Health Professionals

Emergency Management Stage: Preparedness (Prevention / Protection)

Collection: Disaster Research Literature Review

Keywords: Crisis Intervention; Disaster Planning; Ethics, Medical; Health Policy; United States; Resource Allocation; Pandemics; COVID-19; Pandemic Preparedness

Institutions: The Ohio State University

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