resource allocation decisions. We identified 201 studies from January 2011 through May 2020 evaluating resource allocation and pandemic response strategies addressed in infectious disease threats, natural disasters, terrorism, and other mass casualty events for decision makers. May be most appropriate to guide the allocation of scarce resources that confer substantially different benefits to … Rockville, MD: Agency for Healthcare Research and Quality. Recognizing that these challenges threaten the quality of health care resource allocation decisions, the authors created a rapid response guidance checklist to support health care resource allocation decisionmaking during the COVID-19 crisis. When decision makers need to make difficult choices regarding the allocation of scarce resources and pandemic response, potential strategies include: reducing demand for health care services through medical countermeasures (e.g., mass vaccination) or non-pharmaceutical interventions (e.g., social distancing); optimizing existing resources (e.g., central command structure); augmenting resources (e.g., adding temporary facilities or personnel); and. Funding for this research was provided by gifts from RAND supporters and income from operations. The exact decisions you make will, of course, depend on the specifics of your business. The research was conducted by the Quality Measurement and Improvement Program within RAND Health Care. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors. Coronavirus disease 2019 (COVID-19) research is emerging; four higher quality studies evaluated combinations of interventions; one reported the benefit of communitywide mask policies. Choices that are made, including doing nothing, will impact on, and may even end, people’s lives. The authors' Core Guidance Checklist is designed to ensure that health system policy and allocation decisions are. Resource Allocation and Pandemic Response: An Evidence Synthesis To Inform Decision Making. The Core Guidance Checklist was created from a consensus discussion process with bioethicists, health system leaders, clinicians, patient advocates, and representatives of affected communities. RAND is nonprofit, nonpartisan, and committed to the public interest. Frank, Lori, Thomas W. Concannon, and Karishma Patel, Health Care Resource Allocation Decisionmaking During a Pandemic. Diversify skill sets and responsibilities. While specific elements of clinical and ethical criteria can be standardized across health systems, context-sensitive requirements will shape local adaptation. In this period of clinical uncertainty, the AHRQ Evidence-based Practice Center (EPC) Program has rapidly summarized the current available evidence in response to urgent questions about promising options to control the COVID-19 pandemic. This report is part of the RAND Corporation research report series. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. In the COVID-19 pandemic, many health system and state policymakers are working with no established methods for making decisions about allocation of scarce but lifesaving health care resources for patients and personal protective equipment for health care and long-term care workers. Definition of Resource Allocation Resource allocation is a process and strategy involving a company deciding where scarce resources should be used in the production of goods or services. The main ethical issue in resource allocation is ensuring Level 1: Allocating resources to healthcare versus other social needs. Abstract This paper identifies four approaches to resource allocation decisions in public services from the literature: a rational approach using devices such as budgets, cost-benefit analysis, statistical techniques, etc. We identified 28 evaluations of strategies to augment resources; higher quality studies reported the effectiveness of establishing temporary facilities, using volunteers, and using decision support software. Download data from the Systematic Review Data Repository Plus. But there is The healthcare field is struggling with urgent questions about how to respond to the current COVID-19 pandemic. Posted final reports are located on the Effective Health Care Program search page. For information on reprint and linking permissions, please visit the RAND Permissions page.

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