Publications by authors named "A Payot"

Article Synopsis
  • COVID-19 triage protocols are developed to manage resource shortages in ICUs and have sparked ethical debates, particularly regarding potential biases against certain groups based on age, frailty, or perceived social value.
  • The online Democratic Deliberation conducted in May and June 2022 in Quebec and Ontario aimed to gather public opinions on acceptable considerations and values that should guide these protocols.
  • Analysis revealed three main themes: the need for public acceptance of the protocols, essential considerations to include in triage decisions, and conditions that could enhance acceptance, with participants generally favoring prioritization based on survival prognosis and advocating for structured decision-making to reduce subjectivity.
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Background: Online democratic deliberation (ODD) may foster public engagement in new health strategies by providing opportunities for knowledge exchange between experts, policy makers, and the public. It can favor decision-making by generating new points of view and solutions to existing problems. Deliberation experts recommend gathering feedback from participants to optimize future implementation.

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Background: The prioritization protocols for accessing adult critical care in the extreme pandemic context contain tiebreaker criteria to facilitate decision-making in the allocation of resources between patients with a similar survival prognosis. Besides being controversial, little is known about the public acceptability of these tiebreakers. In order to better understand the public opinion, Quebec and Ontario's protocols were presented to the public in a democratic deliberation during the summer of 2022.

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Pediatric palliative care in Canada.

Curr Probl Pediatr Adolesc Health Care

January 2024

Pediatric palliative care (PPC) emerged during the late 20th century in Canada. It has steadily expanded and there are now programs in every province. Programs adhere to recognized standards of practice at both federal and provincial levels.

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Communication with parents is an essential component of neonatal care. For extremely preterm infants born at less than 25 weeks, this process is complicated by the substantial risk of mortality or major morbidity. For some babies with specific prognostic factors, the majority die.

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