scholarly journals Arizona Hospitals and Health Systems’ Statewide Collaboration Producing a Triage Protocol During the COVID-19 Pandemic

2021 ◽  
Vol 22 (6) ◽  
pp. 119-126
Author(s):  
Patricia Mayer ◽  
◽  
David Beyda ◽  
Bree Johnston
Keyword(s):  
Health Services ◽  
Advisory Committee ◽  
Health Systems ◽  
The State ◽  
Scarce Resources ◽  
Department Of Health ◽  
Triage Protocol ◽  
Medical Advisory Committee

We describe the process by which all hospitals and health systems in Arizona, normally competitors, rapidly cooperated to develop a statewide protocol (“Addendum”) delineating how to allocate scarce resources during the COVID-19 pandemic should triage be required anywhere in the state. Eight physician ethicists from seven different health systems created the Addendum, which was accepted by all hospitals and health systems, approved by the State Disaster Medical Advisory Committee (SDMAC), and then formally adopted by the Arizona Department of Health Services (ADHS). In addition, the entire state developed a plan to “stick together” such that no facility would be forced to triage unless all were overwhelmed. Because we are unaware of any other state’s hospitals and health systems producing and committing to a shared triage protocol and plan, we believe this experience can serve as a model for other locales during the absence of sufficient state or federal guidance.

Arizona Reopening Phase 2: Rise and Fall of COVID-19 Cases

2021 ◽  
Vol 6 (5) ◽  
Keyword(s):  
United States ◽  
Longitudinal Study ◽  
Health Services ◽  
The United States ◽  
The State ◽  
Acquired Immunity ◽  
Phase 2 ◽  
Department Of Health ◽  
The World ◽  
Data Source

Of the United States 50 states, Arizona is the sixth largest in size. It is about the same size as Italy. After three months of Arizona Reopening Phase 2, the COVID-19 cases had surged. In early January 2021, ABC and NBC News reported that Arizona has the highest new cases per capital in the world. This longitudinal study examined the Arizona’s Reopening Phase 2 surge in cases. The study examined the changes in the numbers of testing given, new COVID-19 cases, cases that required hospitalizations, deaths, and vaccines given. The data source used was from the Arizona Department of Health Services COVID-19 dashboard database. During the last third of seven-month study period, Arizona’s case numbers declined as the number of those infected recovered and acquired immunity and the state residents became fully vaccinated increased.

Arizona and COVID-19

2020 ◽  
Vol 5 (Special) ◽  
Keyword(s):  
United States ◽  
Longitudinal Study ◽  
Health Services ◽  
The United States ◽  
The State ◽  
Department Of Health ◽  
Data Source

Of the United States 50 states, Arizona is the sixth largest in size. It is about the same size as Italy. After six weeks of reopening the state, the COVID-19 cases had spiked. Arizona’s state COVID-19 ranking had rose from one of the states with the lowest number of reported cases to the top 7th in the total reported cases. The state took aggressive actions to address the rising cases. This longitudinal study examined the impacts of the actions taken. The study examined the changes in the numbers of new reported COVID-19 cases, the number of cases that required hospitalization, and the number of deaths. The data source used was from the Arizona Department of Health Services COVID-19 dashboard database. During the two-month study period, Arizona aggressive actions had slowed down the overall state rates of new COVID-19 cases and number of deaths.

Aids Funding: Competing Needs and the Politics of Priorities

1988 ◽  
Vol 18 (4) ◽  
pp. 521-541 ◽  
Author(s):  
Nancy Krieger
Keyword(s):  
Health Services ◽  
Reagan Administration ◽  
Transmitted Disease ◽  
Federal Spending ◽  
Sexually Transmitted ◽  
Fiscal Constraints ◽  
Scarce Resources ◽  
Control Programs ◽  
Department Of Health ◽  
Health Initiatives

Despite the Department of Health and Human Service's 1983 claim that AIDS is the nation's “number one health priority,” funding for AIDS research, prevention, and treatment remains inadequate. Worse, it is often marshaled from or juxtaposed against other necessary health allocations. Consequent AIDS-related resource crises include diverting funds for research on other diseases to AIDS investigations, propping up AIDS prevention efforts at the expense of traditional sexually transmitted disease control programs, and pitting the health needs of AIDS patients against the needs of those seeking other urgent health services, e.g., prenatal care. While this forced competition typically is blamed on fiscal constraints, examination of federal spending priorities suggests that it results principally from Reagan Administration policies. This Administration has consistently boosted military spending at the expense of social and health services, and has deliberately undermined efforts to obtain sufficient and new allocations for AIDS. In order to avert political divisions spurred by competition for currently scarce resources, AIDS and other health activists together must argue that excessive military allocations must be shifted to health research and services, and that a national health program must be implemented, if AIDS programs are to be funded appropriately without jeopardizing other necessary health initiatives.

Analysis of Indicators used in the Annual Review Reports of DHS-Nepal

1970 ◽  
Vol 39 (135) ◽  
pp. 245-250
Author(s):  
B K Suvedi
Keyword(s):  
Health Services ◽  
Trend Analysis ◽  
Annual Report ◽  
Health Programs ◽  
Annual Review ◽  
Department Of Health ◽  
Review Reports

The indicators mentioned in the Annual Report of Department of Health Services of Nepal has beenreviewed and analyzed. The Annual Report mentions 74 indicators used by 12 different programs under theDepartment of Health Services. Out of 26 programs, Fourteen (54%) programs do not have any indicators.Of the total 74 indicators used by 12 programs, only 28 (38%) have been used in the annual report fordetailed description. Three categories of the indicators have been classified and their use in the report hasbeen analyzed. Questions are raised regarding the "silent" programs and the "silent" indicators for their usein monitoring of performance / trend analysis of various programs. Suggestions on the better use of theindicators has been made.Key Words: indicators, health, programs, Nepal, report.

Sign in / Sign up

Export Citation Format

Share Document