需求与供给：儿科伦理咨询量与伦理工作受保护时间之间的关联

Demand and Supply: Association between Pediatric Ethics Consultation Volume and Protected Time for Ethics Work.

作者信息

Weaver Meaghann S, Wichman Christopher, Sharma Shiven, Walter Jennifer K

机构信息

Department of Pediatrics, Pediatric Palliative Care, University of Nebraska Medical Center, Omaha, NE, USA.

Veterans Health Affairs, National Center for Ethics in Healthcare, Washington, DC, USA.

出版信息

AJOB Empir Bioeth. 2023;14(3):135-142. doi: 10.1080/23294515.2022.2160512. Epub 2022 Dec 27.

DOI:10.1080/23294515.2022.2160512

PMID:36574230

Abstract

BACKGROUND

Despite national increase in pediatric ethics consultation volume over the past decade, protected time and resources for healthcare ethics consultancy work has lagged.

METHODS

Correlation study investigating potential associations between ethics consult volume reported by recent national survey of consultants at children's hospitals and five programmatic domains.

RESULTS

104 children's hospitals in 45 states plus Washington DC were included. There was not a statistically significant association between pediatric ethics consult volume and hospital size, rurality of patient population, or number of consultants. Academically-affiliated children's hospitals had fewer ethics consults compared to nonacademically affiliated. Association was found between full-time equivalent (FTE) hours and number of ethics consults (p < 0.0001). Spearman rank correlation between ethics consult volume and FTE was 0.5.

CONCLUSIONS

While the results of this study should be interpreted with caution, investment in protected time for ethics consultancy work may translate into increased volume of pediatric ethics consults.

摘要

背景

尽管在过去十年里全国儿科伦理咨询量有所增加，但用于医疗保健伦理咨询工作的受保护时间和资源却滞后了。

方法

相关性研究，调查儿童医院近期顾问全国性调查所报告的伦理咨询量与五个项目领域之间的潜在关联。

结果

纳入了45个州加华盛顿特区的104家儿童医院。儿科伦理咨询量与医院规模、患者群体的农村性或顾问数量之间没有统计学上的显著关联。与非学术附属儿童医院相比，学术附属儿童医院的伦理咨询较少。发现全职等效（FTE）小时数与伦理咨询数量之间存在关联（p < 0.0001）。伦理咨询量与FTE之间的斯皮尔曼等级相关性为0.5。