Mission & Strategy Integration and Support Services-71459Kingston Health Sciences Centre, Kingston, Ontario, Canada.
Healthc Manage Forum. 2021 May;34(3):193-195. doi: 10.1177/0840470420980655. Epub 2020 Dec 23.
The COVID-19 pandemic has required healthcare organizations to introduce risk mitigation strategies that challenge usual family presence (visitor) policies. Policies within healthcare must be viewed from an ethical lens, which includes ensuring that the patient voice helps guide decision-making. In considering pandemic-specific family presence policies, Kingston Health Sciences Centre, an academic tertiary care hospital in Southeastern Ontario, applied an ethical framework for decision-making. The various tensions between the values of duty to provide care, protection of the public from harm, transparency, proportionality, and patient-centred care are highlighted in a discussion of how patient partners contributed to decision-making about family presence in the first 9 months of the COVID-19 pandemic.
COVID-19 大流行要求医疗机构引入减轻风险的策略，这些策略挑战了通常的家属（访客）政策。医疗保健政策必须从伦理角度来看待，其中包括确保患者的声音有助于指导决策。在考虑特定于大流行的家属在场政策时，安大略省东南部的学术三级保健医院金士顿健康科学中心应用了决策伦理框架。在讨论患者伙伴如何为 COVID-19 大流行的前 9 个月的家属在场决策做出贡献时，突出了在履行提供护理的责任、保护公众免受伤害、透明度、相称性和以患者为中心的护理之间的各种紧张关系。
