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Pediatric Ethics Consultation Services.

Meaghann S Weaver1,2, Valerie K Shostrom3, Shiven Sharma4

  • 1Pediatric Palliative Care.

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|January 31, 2023
PubMed
Summary
This summary is machine-generated.

Pediatric ethics consultation services (PECS) are present in 69% of children's hospitals, with freestanding children's hospitals more likely to have them. Further research is needed to address the one-third of hospitals lacking these vital services.

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Area of Science:

  • Pediatric healthcare ethics
  • Hospital administration
  • Clinical ethics services

Background:

  • Guidelines recommend pediatric ethics consultation services (PECS).
  • The prevalence of PECS in children's hospitals is largely unknown.
  • This study quantifies PECS availability and examines associated hospital characteristics.

Purpose of the Study:

  • To determine the prevalence of pediatric ethics consultation services (PECS) in children's hospitals.
  • To compare the practice environments of children's hospitals with and without PECS.
  • To identify factors associated with the presence of PECS.

Main Methods:

  • Analysis of the 2020 Children's Hospital Association Annual Benchmark Report survey data.
  • Determination of PECS presence in 144 children's hospitals across 50 states.
  • Comparison of hospital characteristics between those with and without PECS.

Main Results:

  • 69% of surveyed children's hospitals reported having ethics consultation services.
  • Freestanding children's hospitals, academic medical centers, and those with palliative care, intensive care, and trauma services were more likely to have PECS.
  • Hospitals with more staffed beds and those designated as federally qualified health centers or accountable care organizations were also more likely to offer PECS.

Conclusions:

  • One-third of children's hospitals currently lack pediatric ethics consultation services (PECS).
  • The presence of PECS is associated with larger, freestanding, academic children's hospitals with comprehensive specialized care programs.
  • Further research is necessary to understand barriers to PECS implementation and improve access to these services.