PMID- 32585661
OWN - NLM
STAT- MEDLINE
DCOM- 20200914
LR  - 20200914
IS  - 1046-7890 (Print)
IS  - 1046-7890 (Linking)
VI  - 31
IP  - 2
DP  - 2020 Summer
TI  - How Much Volume Should Healthcare Ethics Consult Services Have?
PG  - 158-172
LID - 2020312158 [pii]
AB  - BACKGROUND: No standard method exists to assess how many consults a healthcare 
      ethics consultation (HCEC) service should perform. To address this, we developed 
      a method to estimate the volume of HCEC services based on a mixed-methods 
      approach that included a systematic review and survey data on the volume of 
      consult services requested. METHODS: Our investigation included a systematic 
      review of studies that reported the volume of HCEC services that were requested 
      from 2000 to 2017, institutional surveys, and statistical analyses that estimated 
      the volume of HCEC services that were adjusted to the size of the hospitals in 
      the survey and to population acuity. RESULTS: We contacted the authors of 19 
      studies that met our inclusion criteria; 17 authors responded to the 
      institutional survey and five provided annualized data points. We found that 
      standard methods of reporting the volume of HCEC services led to inaccuracies in 
      estimating the growth of HCEC services over time. To rectify this, we proposed 
      two means to estimate volume based on either the service goals of HCEC services 
      or hospital size and acuity. DISCUSSION: The statistical limitations of our study 
      highlight the need to standardize the sharing and reporting of data in clinical 
      ethics. Future work should further standardize methods of HCEC quality assessment 
      using measures similar to those we describe.
CI  - Copyright 2020 The Journal of Clinical Ethics. All rights reserved.
FAU - Glover, Avery C
AU  - Glover AC
AD  - MD/MBA Candidate 2023, Tufts University School of Medicine, Boston, 
      Massachusetts; and Heller School for Social Policy and Management, Brandeis 
      University, in Waltham, Massachusetts USA. avery.glover@tufts.edu.
FAU - Cunningham, Thomas V
AU  - Cunningham TV
AD  - Director of Bioethics, Kaiser Permanente Southern California Bioethics Program; 
      Faculty Member, Loyola Marymount University Bioethics Institute, Los Angeles, 
      California USA. thomas.v.cunningham@kp.org.
FAU - Sterling, Evelina W
AU  - Sterling EW
AD  - Assistant Professor, Department of Sociology and Criminal Justice, Kennesaw State 
      University, Kennesaw, Georgia USA. esterlin @kennesaw.edu.
FAU - Lesandrini, Jason
AU  - Lesandrini J
AD  - Assistant Vice President Ethics, Advance Care Planning and Spiritual Health, 
      WellStar Health System, Atlanta, Georgia USA. jason.lesandrini@wellstar.org.
LA  - eng
PT  - Journal Article
PT  - Systematic Review
PL  - United States
TA  - J Clin Ethics
JT  - The Journal of clinical ethics
JID - 9114645
SB  - IM
MH  - *Bioethics
MH  - Delivery of Health Care
MH  - *Ethics Consultation
MH  - Hospitals
MH  - Humans
MH  - Quality Assurance, Health Care
EDAT- 2020/06/26 06:00
MHDA- 2020/09/15 06:00
CRDT- 2020/06/26 06:00
PHST- 2020/06/26 06:00 [entrez]
PHST- 2020/06/26 06:00 [pubmed]
PHST- 2020/09/15 06:00 [medline]
AID - 2020312158 [pii]
PST - ppublish
SO  - J Clin Ethics. 2020 Summer;31(2):158-172.