Resource Allocation and Pandemic Response: An Evidence Synthesis to Inform Decision Making [open pdf - 1MB]
From the Background and Purpose: "In a pandemic, such as COVID-19 [coronavirus disease 2019], the need for medical resources, including staff, stuff (e.g., supplies and equipment), and space or structure (e.g., physical location), can quickly outstrip the available resources. Policymakers need information and tested strategies to inform key decisions about how to respond and make the best use of scarce resources. Potential strategies seek to increase the overall quantity of resources, stretch existing resources, and when needed offer guidance about how to determine which patients receive those resources. These strategies focused on the healthcare delivery system are complemented by population-based strategies that seek to reduce the spread of the disease and therefore the demand for health care services. There is a wealth of guidance developed by the Assistant Secretary for Preparedness and Response (ASPR) and the National Academy of Medicine (NAM) about the allocation of scarce resources. The degree to which these guidelines are implemented as policies or affect outcomes at the population level is harder to examine. A 2012 AHRQ [Agency for Healthcare Research and Quality] review identified the existing evidence on outcomes of strategies for allocating medical resources in mass casualty events. That review defined resource allocation broadly, and included pandemic response such as mitigation and community strategies that were useful to policymakers. In this rapid evidence review, we updated the search for studies about outcomes of strategies regarding allocations of scarce resources (including mitigation and community strategies) that would be of interest to a broad array of decision makers, and updated terminology to reflect the current scope."
AHRQ Pub. No. 20(21)-EHC027; Agency for Healthcare Research and Quality Publication No. 20(21)-EHC027
Agency for Healthcare Research and Quality: https://effectivehealthcare.ahrq.gov/