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. |