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Ethical Framework for Risk Stratification and Mitigation Programs for Children With Medical Complexity

Chris Feudtner1,2, Theodore Schall3, Pamela Nathanson3

  • 1Department of Medical Ethics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; feudtner@email.chop.edu.

Pediatrics
|March 3, 2018
PubMed

Insights

Designing clinical programs for children with medical complexity requires careful risk stratification. This ethical evaluation identifies key issues and offers recommendations to prevent ethically problematic practices in healthcare systems.

Area of Science:

  • Healthcare Ethics
  • Pediatric Healthcare
  • Clinical Program Design

Background:

  • Hospitals and healthcare systems designing programs for children with medical complexity (CMC) often identify risk stratification as a critical need.
  • Implementing effective risk stratification systems is essential for equitable and safe care delivery.

Purpose of the Study:

  • To examine the ethical considerations involved in risk stratification for CMC programs.
  • To identify specific ethical issues and provide recommendations for ethically sound program design.

Main Methods:

  • Utilized a framework for ethical evaluation of healthcare programs.
  • Analyzed the task of risk stratification within the context of pediatric medical complexity.
  • Identified specific issues requiring attention in program development.

Main Results:

  • Risk stratification in CMC programs presents several potential ethical challenges.
  • Detailed examination reveals specific areas needing careful consideration during program design.
  • Recommendations are provided to mitigate ethically problematic situations.

Conclusions:

  • Ethical evaluation is crucial for developing and implementing risk stratification in CMC programs.
  • Proactive identification and addressing of ethical issues can ensure responsible program practices.
  • Recommendations aim to guide healthcare systems in creating ethically sound programs for CMC.

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