Elective cardiovascular care in the era of the COVID-19 pandemic: managing tragic choices

BMJ Open Quality

article

Adam E Berman¹  Douglas Miller¹  Robert A Sorrentino¹  Elias A Mossialos⁴ 

[1] Division of Cardiology , Medical College of Georgia;Division of Health Economics and Modeling , Medical College of Georgia;Division of Health Policy , Medical College of Georgia;Department of Health Policy , The London School of Economics and Political Science

关键词: decision support;    clinical;    decision making;    health equity;    health policy;    ethics;   

DOI  :  10.1136/bmjoq-2020-001069

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

The COVID-19 pandemic has led to significant morbidity and mortality globally. As health systems grapple with caring for patients affected with COVID-19, cardiovascular procedures that are deemed ‘elective’ have been postponed. Guidelines concerning which cardiac procedures should be performed during the pandemic vary by specialty and geography in the USA. We propose a clinical heuristic to guide individual physicians and governing bodies in their decision making regarding which cardiac procedures should be performed during the COVID-19 pandemic using the behavioural economics concept of heuristics and ecological rationality.decision supportclinicaldecision makinghealth equityhealth policyethicshttp://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND