Dr. Evelina Sterling Has a New Article in the Journal of Clinical Ethics
KENNESAW, Ga. | Jun 24, 2020
How Much Volume Should Healthcare Ethics Consult Services Have?
ABSTRACT
Background No standard method exists to assess how many consults a healthcare ethics
consultation (HCEC) service should perform. To address this, we developed a method
to estimate the volume of HCEC services based on a mixed-methods approach that included
a systematic review and survey data
on the volume of consult services requested.
METHODS
Our investigation included a systematic review of studies that reported the volume
of HCEC services that were requested from 2000 to 2017, institutional surveys, and
statistical analyses that estimated the volume of HCEC services that were adjusted
to the size of the hospitals in the survey and to population acuity.
RESULTS
We contacted the authors of 19 studies that met our inclusion criteria; 17 authors
responded to the institutional survey and five provided annualized data points. We
found that standard methods of reporting the volume of HCEC services led to inaccuracies
in estimating the growth of HCEC services over time. To rectify this, we proposed
two means to estimate volume based on either the service goals of HCEC services or
hospital size and acuity.
DISCUSSION
The statistical limitations of our study highlight the need to standardize the sharing
and reporting of data in clinical ethics. Future work should further standardize methods
of HCEC quality assessment using measures similar to those we describe.
The Journal of Clinical Ethics is not an open access journal. If you subscribe, you can search for Dr. Sterling's article.
Avery C. Glover, Thomas V. Cunningham, Evelina W. Sterling, and Jason Lesandrini
