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Bioethics and patient advocacy

Patient- vs Society-centric care
By David H Levien
Posted on 5/9/2020 9:22 AM

Emmanuel KantAs physicians and other clinicians, we have always felt that our fiduciary responsibility was to the patient whereas administrators have often felt a responsibility to the community as a whole. Over time clinicians have developed a greater understanding of the potential conflict between the two and responsibility towards the community as well, although the former retains primacy. Luckily, strong leadership by the present administration has led to a plethora of ventilators and averted a crisis of rationing. Nevertheless, a discussion of the distinction between patient centric and society centric decisions is a very worthy topic of discussion and the topic of a paper by one of our American College of Healthcare Trustees Fellows, Ricardo Correa and others. It is extremely timely. Of note is that Doctor Correa was recently appointed to our board of directors and is a great champion for diversity. Reallocating Ventilators During the COVID-19 Pandemic: Is it Ethical? Quyen Chu, MD, MBA, Professor of Surgery, Ricardo Correa, MD, EdD, Tracey L. Henry, MD, MPH, MS, Assistant Professor of Medicine, Kyle A. McGregor, PhD;, Assistant Professor, Hanni Stoklosa, MD, MPH, Loren Robinson, MD, MSHP, Sachin Jha, MD, MS, Assistant Clinical Professor, Alagappan Annamalai, MD, CEO, Benson S. Hsu, MD, MBA, Associate Professor of Pediatrics, Rohit Gupta, BA, Medical Student, Desmond Upton Patton, PhD, MSW, Lisa A. Moreno-Walton, MD, MS, MSCR, Christine Butts, MD, Christy Chai, MD, Assistant Professor of Surgery, SreyRam Kuy, MD, MHS, Assistant Professor of Surgery PII: S0039-6060(20)30254-3 DOI: Reference: YMSY 6396 To appear in: Surgery Received Date: 30 April 2020 Accepted Date: 30 April 2020 Please cite this article as: Chu Q, Correa R, Henry TL, McGregor KA, Stoklosa H, Robinson L, Jha S, Annamalai A, Hsu BS, Gupta R, Patton DU, Moreno-Walton LA, Butts C, Chai C, Kuy S, Reallocating Ventilators During the COVID-19 Pandemic: Is it Ethical?, Surgery (2020), doi: j.surg.2020.04.044.
Dr. Correa's article in "Surgery"

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