AAN position statement: The COVID-19 pandemic and the ethical duties of the neurologist.

Neurology

From the Department of Neurology & Neurotherapeutics and Neurological Surgery (M.A.R.), University of Texas Southwestern Medical Center, Dallas; Schools of Law, Medicine, and Public Policy (R.J.B.), University of Virginia, Charlottesville; Department of Pediatrics (L.E.), Northwestern University Feinberg School of Medicine, Chicago, IL; Departments of Neurology and Neurological Surgery (C.H.), University of California, San Francisco; Departments of Anesthesiology, Critical Care Medicine, Pediatrics and Neurology (M.K.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurology and Neurosurgery (A.L.), New York University Langone Medical Center, New York; and Departments of Anesthesiology and Critical Care Medicine, Neurology, and Neurosurgery (J.I.S.), The Johns Hopkins University School of Medicine, Baltimore, MD.

Published: July 2020

Patients, clinicians, and hospitals have undergone monumental changes during the coronavirus disease 2019 (COVID-19) pandemic. This crisis has forced us to consider the obligations that we neurologists have to our individual patients as well as the greater community. By returning to our fundamental understanding of these duties, we can ensure that we are providing the most ethically appropriate contingency and crisis care possible. We recommend specific adaptations to both the inpatient and outpatient settings, as well as changes to medical and trainee education. Furthermore, we explore the daunting but potentially necessary implementation of scare resource allocation protocols. As the pandemic evolves, we will need to adapt continuously to these rapidly changing circumstances and consider both national and regional standards and variation.

Download full-text PDF

Source
http://dx.doi.org/10.1212/WNL.0000000000009744DOI Listing

Publication Analysis

Top Keywords

covid-19 pandemic
8
aan position
4
position statement
4
statement covid-19
4
pandemic ethical
4
ethical duties
4
duties neurologist
4
neurologist patients
4
patients clinicians
4
clinicians hospitals
4

Similar Publications

Wastewater Monitoring During the COVID-19 Pandemic in the Veneto Region, Italy: Longitudinal Observational Study.

JMIR Public Health Surveill

January 2025

Unit of Biostatistics, Epidemiology and Public Health, Department of Cardio-Thoraco-Vascular Sciences and Public Health, University of Padova, Via Loredan 18, Padova, Italy, 39 049 8275384.

Background: As the COVID-19 pandemic has affected populations around the world, there has been substantial interest in wastewater-based epidemiology (WBE) as a tool to monitor the spread of SARS-CoV-2. This study investigates the use of WBE to anticipate COVID-19 trends by analyzing the correlation between viral RNA concentrations in wastewater and reported COVID-19 cases in the Veneto region of Italy.

Objective: We aimed to evaluate the effectiveness of the cumulative sum (CUSUM) control chart method in detecting changes in SARS-CoV-2 concentrations in wastewater and its potential as an early warning system for COVID-19 outbreaks.

View Article and Find Full Text PDF

While telegenetic counseling has increased substantially since the start of the COVID-19 pandemic, previous studies reported concerns around building rapport, nonverbal communication, and the patient-counselor relationship. This qualitative evaluation elicited feedback from genetic counselors, referring clinicians, and patients from a single healthcare organization to understand the user-driven reasons for overall satisfaction and experience. We conducted 22 in-depth, semi-structured interviews with participants from all 3 groups between February 2022 and February 2023.

View Article and Find Full Text PDF

The authors of this research explored community perspectives on women's mental health in rural Pakistan, using a qualitative approach to identify beliefs hindering women's access to mental healthcare. Data were collected through 15 Focus Group Discussions (FGDs) and 15 Key Informant Interviews (KIIs) with stakeholders in Gilgit-Baltistan, using purposive sampling. The researchers revealed low community awareness of mental health and a lack of diagnostic and treatment services for women.

View Article and Find Full Text PDF

Background: The coronavirus disease 2019 (COVID-19) pandemic has affected millions of people worldwide, and although it is primarily a respiratory illness, gastrointestinal symptoms have been reported in a significant proportion of patients.

Aim: Prevalence of gastrointestinal symptoms after recovery from COVID-19.

Methodology: A community-based cross-sectional study was conducted in the Aseer region of Saudi Arabia.

View Article and Find Full Text PDF

Background: The pairing assistance policy represents a distinctive instrument utilized by the Chinese government to address major public crises. This study examines the development of a pairing assistance policy by the Chinese Government through its central authority to foster collaborative governance among local governments in areas affected by COVID-19.

Methods: The aim of the study was to gain a clear understanding of how the policy of pairing assistance in public health emergencies is successfully implemented through the top-down application of authority.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!