Public perspectives on COVID-19 triage protocols for access to critical care in extreme pandemic context.
COVID-19 triage protocols are resource allocation processes to deal with the potential lack of resources in Intensive Care Units (ICU). They have given rise to numerous ethical issues and controversies. Among them is the fear that people will be denied access to ICU on the basis of judgments about t...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2024-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0314460 |
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| author | Marie-Eve Bouthillier Yanick Farmer Claudia Calderon Ramirez James Downar Andrea Frolic Joseph Dahine Lucie Opatrny Diane Poirier Gina Bravo Audrey L'Espérance Antoine Payot Peter Tanuseputro Louis-Martin Rousseau Vincent Dumez Annie Descôteaux Clara Dallaire Karell Laporte Nathalie Orr Gaucher |
| author_facet | Marie-Eve Bouthillier Yanick Farmer Claudia Calderon Ramirez James Downar Andrea Frolic Joseph Dahine Lucie Opatrny Diane Poirier Gina Bravo Audrey L'Espérance Antoine Payot Peter Tanuseputro Louis-Martin Rousseau Vincent Dumez Annie Descôteaux Clara Dallaire Karell Laporte Nathalie Orr Gaucher |
| author_sort | Marie-Eve Bouthillier |
| collection | DOAJ |
| description | COVID-19 triage protocols are resource allocation processes to deal with the potential lack of resources in Intensive Care Units (ICU). They have given rise to numerous ethical issues and controversies. Among them is the fear that people will be denied access to ICU on the basis of judgments about their quality of life, social value, frailty or age. This online Democratic Deliberation (DD) with members of the public aimed to discover the necessary considerations and conditions that make triage protocols more acceptable to guide future decisions in terms of the values and criteria that must underpin triage protocols. We simultaneously conducted the online DD in Quebec and Ontario on May 28th and June 4th, 2022, among adults who do not work in the healthcare sector, recruited randomly among the members of the public registered on Leger Opinion poll website to favor sociodemographic diversity. Data was analyzed using thematic analysis. Among the participants who took part in the study, 27 participants were from Ontario and 20 from Quebec. Three main themes emerged: 1) Acceptance of the protocol and values, 2) Considerations to be integrated in triage protocols, 3) Conditions which may favor a greater public acceptance of these protocols. Participants supported the idea of prioritizing patients with the best prognosis of survival under extreme conditions. The maximization of benefits was the most predominant approach. Participants considered that triage protocols are necessary to reduce arbitrariness in decision making and to facilitate these tragic decisions by health professionals. |
| format | Article |
| id | doaj-art-e4fe49b3c3294005b9265e3288934dcf |
| institution | OA Journals |
| issn | 1932-6203 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-e4fe49b3c3294005b9265e3288934dcf2025-08-20T02:35:22ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031446010.1371/journal.pone.0314460Public perspectives on COVID-19 triage protocols for access to critical care in extreme pandemic context.Marie-Eve BouthillierYanick FarmerClaudia Calderon RamirezJames DownarAndrea FrolicJoseph DahineLucie OpatrnyDiane PoirierGina BravoAudrey L'EspéranceAntoine PayotPeter TanuseputroLouis-Martin RousseauVincent DumezAnnie DescôteauxClara DallaireKarell LaporteNathalie Orr GaucherCOVID-19 triage protocols are resource allocation processes to deal with the potential lack of resources in Intensive Care Units (ICU). They have given rise to numerous ethical issues and controversies. Among them is the fear that people will be denied access to ICU on the basis of judgments about their quality of life, social value, frailty or age. This online Democratic Deliberation (DD) with members of the public aimed to discover the necessary considerations and conditions that make triage protocols more acceptable to guide future decisions in terms of the values and criteria that must underpin triage protocols. We simultaneously conducted the online DD in Quebec and Ontario on May 28th and June 4th, 2022, among adults who do not work in the healthcare sector, recruited randomly among the members of the public registered on Leger Opinion poll website to favor sociodemographic diversity. Data was analyzed using thematic analysis. Among the participants who took part in the study, 27 participants were from Ontario and 20 from Quebec. Three main themes emerged: 1) Acceptance of the protocol and values, 2) Considerations to be integrated in triage protocols, 3) Conditions which may favor a greater public acceptance of these protocols. Participants supported the idea of prioritizing patients with the best prognosis of survival under extreme conditions. The maximization of benefits was the most predominant approach. Participants considered that triage protocols are necessary to reduce arbitrariness in decision making and to facilitate these tragic decisions by health professionals.https://doi.org/10.1371/journal.pone.0314460 |
| spellingShingle | Marie-Eve Bouthillier Yanick Farmer Claudia Calderon Ramirez James Downar Andrea Frolic Joseph Dahine Lucie Opatrny Diane Poirier Gina Bravo Audrey L'Espérance Antoine Payot Peter Tanuseputro Louis-Martin Rousseau Vincent Dumez Annie Descôteaux Clara Dallaire Karell Laporte Nathalie Orr Gaucher Public perspectives on COVID-19 triage protocols for access to critical care in extreme pandemic context. PLoS ONE |
| title | Public perspectives on COVID-19 triage protocols for access to critical care in extreme pandemic context. |
| title_full | Public perspectives on COVID-19 triage protocols for access to critical care in extreme pandemic context. |
| title_fullStr | Public perspectives on COVID-19 triage protocols for access to critical care in extreme pandemic context. |
| title_full_unstemmed | Public perspectives on COVID-19 triage protocols for access to critical care in extreme pandemic context. |
| title_short | Public perspectives on COVID-19 triage protocols for access to critical care in extreme pandemic context. |
| title_sort | public perspectives on covid 19 triage protocols for access to critical care in extreme pandemic context |
| url | https://doi.org/10.1371/journal.pone.0314460 |
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