Healthcare providers’perspectives on factors influencing their critical care decision-making during the COVID-19 pandemic:An international pilot survey  

作　　者：Sonali Vadi Neha Sanwalka Pramod Thaker 

机构地区：[1]Department of Critical Care Medicine,Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute,Mumbai 400053,Mahārāshtra,India [2]Department of Statistics,HCJMRI,Jehangir Hospital,Pune 411001,Mahārāshtra,India [3]Medical Ethics Fellowship,Harvard Medical School,Boston,MA 02138,United States

出　　处：《World Journal of Critical Care Medicine》2025年第1期100-110,共11页世界重症医学杂志（英文）

摘　　要：BACKGROUND Understanding a patient's clinical status and setting priorities for their care are two aspects of the constantly changing process of clinical decision-making.One analytical technique that can be helpful in uncertain situations is clinical judgment.Clinicians must deal with contradictory information,lack of time to make decisions,and long-term factors when emergencies occur.AIM To examine the ethical issues healthcare professionals faced during the coronavirus disease 2019(COVID-19)pandemic and the factors affecting clinical decision-making.METHODS This pilot study,which means it was a preliminary investigation to gather information and test the feasibility of a larger investigation was conducted over 6 months and we invited responses from clinicians worldwide who managed patients with COVID-19.The survey focused on topics related to their professional roles and personal relationships.We examined five core areas influencing critical care decision-making:Patients'personal factors,family-related factors,informed consent,communication and media,and hospital administrative policies on clinical decision-making.The collected data were analyzed using the χ^(2) test for categorical variables.RESULTS A total of 102 clinicians from 23 specialties and 17 countries responded to the survey.Age was a significant factor in treatment planning(n=88)and ventilator access(n=78).Sex had no bearing on how decisions were made.Most doctors reported maintaining patient confidentiality regarding privacy and informed consent.Approximately 50%of clinicians reported a moderate influence of clinical work,with many citing it as one of the most important factors affecting their health and relationships.Clinicians from developing countries had a significantly higher score for considering a patient's financial status when creating a treatment plan than their counterparts from developed countries.Regarding personal experiences,some respondents noted that treatment plans and preferences changed from wave to wave,and that there was a ra

关 键 词：SURVEY Clinical decision-making COVID-19 pandemic 

分 类 号：R563.1[医药卫生—呼吸系统]