Ethical Principles in Personal Protective Equipment Inventory Management Decisions and Partnerships Across State Lines During the COVID-19 Pandemic

Tazim Merchant*, Sean Hormozian, Roger S. Smith, Tricia Pendergrast, Aliza Siddiqui, Zhaoyang Wen, Mark Sheldon

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

The COVID-19 pandemic created unprecedented strain on the personal protective equipment (PPE) supply chain. Given the dearth of PPE and consequences for transmission, GetMePPE Chicago (GMPC) developed a PPE allocation framework and system, distributing 886 900 units to 274 institutions from March 2020 to July 2021 to address PPE needs. As the pandemic evolved, GMPC made difficult decisions about (1) building reserve inventory (to balance present and future, potentially higher clinical acuity, needs), (2) donating to other states/out-of-state organizations, and (3) receiving donations from other states. In this case study, we detail both GMPC’s experience in making these decisions and the ethical frameworks that guided these decisions. We also reflect on lessons learned and suggest which values may have been in conflict (eg, maximizing benefits vs duty to mission, defined in the context of PPE allocation) in each circumstance, which values were prioritized, and when that prioritization would change. Such guidance can promote a values-based approach to key issues concerning distribution of PPE and other scarce medical resources in response to the COVID-19 pandemic and related future pandemics.

Original languageEnglish (US)
Pages (from-to)208-212
Number of pages5
JournalPublic health reports
Volume137
Issue number2
DOIs
StatePublished - Mar 2022

Funding

The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the Northwestern University, Feinberg School of Medicine’s Center for Bioethics & Medical Humanities: COVID-19 Ethics & Humanities Grant.

Keywords

  • community health
  • ethics
  • interventions
  • public health preparedness

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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