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

Adam E. Berman; Douglas Miller; Robert A. Sorrentino; Elias A. Mossialos

doi:10.1136/bmjoq-2020-001069

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

Adam E. Berman, Douglas Miller, Robert A. Sorrentino, Elias A. Mossialos

Cardiology

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English (US)
Article number	001069
Journal	BMJ Open Quality
Volume	9
Issue number	3
DOIs	https://doi.org/10.1136/bmjoq-2020-001069
State	Published - Sep 28 2020

Keywords

clinical
decision making
decision support
ethics
health equity
health policy

ASJC Scopus subject areas

Health Policy
Public Health, Environmental and Occupational Health
Leadership and Management
Medicine(all)

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1136/bmjoq-2020-001069

Cite this

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AB - 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.

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KW - health equity

KW - health policy

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

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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