Principles of ethics and critical communication during the COVID-19 pandemic

•During the COVID-19 pandemic, the primary clinical emphasis has shifted to optimizing community health.•Scarce resources should be allocated to maximize benefit without unfairly affecting any group.•Healthcare systems should consider adopting a formal, tier-based response to COVID-19 related demand...

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Bibliographic Details
Published in:Gynecologic oncology 2020-09, Vol.158 (3), p.526-530
Main Authors: Shalowitz, David I., Lefkowits, Carolyn, Landrum, Lisa M., von Gruenigen, Vivian E., Spillman, Monique A.
Format: Article
Language:English
Subjects:
Betacoronavirus - pathogenicity
Communication
Coronavirus Infections - epidemiology
Coronavirus Infections - prevention & control
Coronavirus Infections - transmission
Coronavirus Infections - virology
COVID-19
Critical Care - ethics
Critical Care - organization & administration
Ethics, Medical
Female
Genital Neoplasms, Female - therapy
Gynecology - ethics
Gynecology - organization & administration
Humans
Infection Control - standards
Medical Oncology - ethics
Medical Oncology - organization & administration
Palliative Care - ethics
Palliative Care - organization & administration
Pandemics - prevention & control
Pneumonia, Viral - epidemiology
Pneumonia, Viral - prevention & control
Pneumonia, Viral - transmission
Pneumonia, Viral - virology
Resource Allocation - ethics
SARS-CoV-2
Standard of Care
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Summary:•During the COVID-19 pandemic, the primary clinical emphasis has shifted to optimizing community health.•Scarce resources should be allocated to maximize benefit without unfairly affecting any group.•Healthcare systems should consider adopting a formal, tier-based response to COVID-19 related demand on resources.•Clinicians should use principles of high-stakes communication to guide care planning during the pandemic.
ISSN:0090-8258
1095-6859
DOI:10.1016/j.ygyno.2020.06.494