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Elective cardiovascular care in the era of the COVID-19 pandemic: managing tragic choices.

Authors
  • Berman, Adam E1, 2
  • Miller, Douglas3, 4
  • Sorrentino, Robert A3
  • Mossialos, Elias A5
  • 1 Division of Cardiology, Medical College of Georgia, Augusta, Georgia, United States [email protected] , (Georgia)
  • 2 Division of Health Economics and Modeling, Medical College of Georgia, Augusta, Georgia, United States. , (Georgia)
  • 3 Division of Cardiology, Medical College of Georgia, Augusta, Georgia, United States. , (Georgia)
  • 4 Division of Health Policy, Medical College of Georgia, Augusta, Georgia, United States. , (Georgia)
  • 5 Department of Health Policy, The London School of Economics and Political Science, London, London, UK.
Type
Published Article
Journal
BMJ open quality
Publication Date
Sep 01, 2020
Volume
9
Issue
3
Identifiers
DOI: 10.1136/bmjoq-2020-001069
PMID: 32988831
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The COVID-19 pandemic has led to significant morbidity and mortality globally. As health systems grapple with caring for patients affected with COVID-19, cardiovascular procedures that are deemed 'elective' have been postponed. Guidelines concerning which cardiac procedures should be performed during the pandemic vary by specialty and geography in the USA. We propose a clinical heuristic to guide individual physicians and governing bodies in their decision making regarding which cardiac procedures should be performed during the COVID-19 pandemic using the behavioural economics concept of heuristics and ecological rationality. © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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