PMC:7537094 / 14369-20172 JSONTXT 9 Projects

Annnotations TAB TSV DIC JSON TextAE

Id Subject Object Predicate Lexical cue
T117 0-48 Sentence denotes 2 SCARCE RESOURCES IN THE CONTEXT OF A PANDEMIC
T118 49-217 Sentence denotes Ethical discussions regarding the allocation of scarce resources in emergency situations often refer to the distribution of ICU beds and critical care devices or drugs.
T119 218-317 Sentence denotes In the context of the COVID‐19 pandemic the fair allocation of ventilators has been in sharp focus.
T120 318-474 Sentence denotes The discussions of triage criteria have been very important as health authorities scamper to deal with situations where demand could easily outstrip supply.
T121 475-623 Sentence denotes Healthcare authorities want to be satisfied that their allocation of critical care resources meets the requirements of fairness and cost efficiency.
T122 624-788 Sentence denotes At the bedside, physicians have to cope with the emotional burden associated with selecting whom to prioritize among human beings needing life‐sustaining treatment.
T123 789-928 Sentence denotes Physicians seek comfort in assurances that any decisions they make are consistent with guidance provided by peers and with societal values.
T124 929-1178 Sentence denotes Faced with the scarcity of bedside resources, one has to remember that ethical issues regarding the allocation of scarce resources do not begin within hospital premises or in relation to the availability of medicines, devices, or hospital equipment.
T125 1179-1393 Sentence denotes For example, in a country like the Philippines, there are many people who reside in places with under‐equipped government hospitals that are often the last resort for needy patients requiring huge subsidized costs.
T126 1394-1557 Sentence denotes On the other hand, there are private hospitals that are able to provide the best available facilities but have to charge full costs in order to sustain operations.
T127 1558-2039 Sentence denotes The 2017 National Demographic and Health Survey of the Philippine Statistics Authority of 27,496 households showed that during the 30 days prior to the survey, 59% of the individuals who sought care first went to a public healthcare facility and 40% first consulted a private healthcare provider or facility; among those who were confined to a clinic or hospital in the 12 months prior to the survey, 55% were in a public facility.20 Philippine Statistics Authority, & ICF. (2018).
T128 2040-2096 Sentence denotes Philippines National Demographic and Health Survey 2017.
T129 2097-2165 Sentence denotes Quezon City, Philippines, and Rockville, Maryland, USA: PSA and ICF.
T130 2166-2309 Sentence denotes Retrieved July 27, 2020, from https://psa.gov.ph/sites/default/files/PHILIPPINE%20NATIONAL%20DEMOGRAPHIC%20AND%20HEALTH%20SURVEY%202017_new.pdf
T131 2310-2404 Sentence denotes This disparity in the provision of healthcare services violates the principle of equal access.
T132 2405-2500 Sentence denotes This is one of the issues that the country’s Universal Health Care Law was intended to address.
T133 2501-2590 Sentence denotes Signed by President Rodrigo Duterte on February 20, 2019,21 Tomacruz, S. (2019, April 1).
T134 2591-2618 Sentence denotes Last updated 2019, April 1.
T135 2619-2691 Sentence denotes Explainer: what Filipinos can Expect from the Universal Health Care Law.
T136 2692-2700 Sentence denotes Rappler.
T137 2701-2837 Sentence denotes Retrieved July 1, 2020, from https://www.rappler.com/newsbreak/iq/226810‐explanation‐what‐filipinos‐can‐expect‐universal‐health‐care‐law
T138 2838-2915 Sentence denotes the law’s implementing rules and regulations were issued on October 20, 2019.
T139 2916-3126 Sentence denotes However, on June 16, 2020, the Philippine Health Insurance Corporation (PhilHealth) suggested a delay in the law’s full implementation due to quarantine‐related economic losses.22 Magsambol, B. (2020, June 16).
T140 3127-3154 Sentence denotes Last updated 2020, June 16.
T141 3155-3231 Sentence denotes Lawmakers Oppose Proposal to Delay Universal Health Care Law Implementation.
T142 3232-3240 Sentence denotes Rappler.
T143 3241-3380 Sentence denotes Retrieved July 1, 2020, from https://www.rappler.com/nation/263979‐lawmakers‐oppose‐proposal‐delay‐universal‐health‐care‐law‐implementation
T144 3381-3553 Sentence denotes While the system of universal healthcare is still being phased in, the dispensing of appropriate healthcare is inequitably distributed among various socio‐economic sectors.
T145 3554-3886 Sentence denotes Apart from purchasing power or the ability to pay for health‐related needs, other factors affect access to much‐needed health services including health literacy or the capacity to acquire and process pertinent information about one’s health condition and prognosis, and awareness of existing options and concomitant treatment costs.
T146 3887-4126 Sentence denotes These are things that are not fairly distributed across individuals or demographic categories so that there are individuals or groups in the country who do not have the same capabilities as those who are socially or economically fortunate.
T147 4127-4287 Sentence denotes The relevant factors have an impact not only on access to COVID‐19 critical care facilities but also on a more general access to prevention and basic treatment.
T148 4288-4596 Sentence denotes If we begin to give thought to considerations of ethics and fairness only when we encounter shortages in the filling of prescriptions or the use of hospital facilities then we are likely to be acting merely to limit, or to make up for harm already inflicted on people because of their unmet healthcare needs.
T149 4597-4704 Sentence denotes Our effort to respond justly to people’s emergency health care needs may be too late already at that point.
T150 4705-4884 Sentence denotes But, using timely preventive measures, or simply well‐directed dissemination of information, health problems that send people to emergency rooms can be avoided in the first place.
T151 4885-4972 Sentence denotes These can even be addressed much earlier by attending to social determinants of health.
T152 4973-5150 Sentence denotes There is nothing new about this observation, but the reiteration is timely because the emergency we are facing makes it easier to focus on basic principles of public healthcare.
T153 5151-5320 Sentence denotes The effort to promote healthcare fairness, guided by the principle of prioritization of the worst off, has to be planned across various stages leading up to emergencies.
T154 5321-5529 Sentence denotes Steps taken to promote fairness at the time of an emergency can easily be a merely remedial measure that ought to have been preempted by proper allocation initiatives way before the existence of an emergency.
T155 5530-5803 Sentence denotes This paper discusses the fairness of allocation measures in relation to the dispensing of adequate information, the provision of isolation and quarantine facilities, the availability of healthcare services and providers, and the criteria for triage in the hospital setting.