The conceptual framework reflects the development and use by policymakers and providers of strategies that initially seek to maximize existing resources by: reducing less urgent demand for non-essential health care services; optimizing the use of existing resources; and augmenting available resources. When these strategies fail to meet patient care needs, providers and policymakers may implement “crisis standards of care.” Strategies used by policymakers and providers are the focus of Key Questions 1 and 2. Ultimately, the strategies implemented by policymakers and providers influence individual and population outcomes through processes of care dictated by these strategies and their health outcomes and other outcomes. The outcomes of each strategy shape new strategies. Providers or policy makers may integrate preferences of the general public in the design of these strategies. This is the focus of Key Question 3. Providers may engage one another or policy makers to develop strategies. Key Question 4 assesses the comparative effectiveness of different engagement strategies.

Figure 2Conceptual framework for allocating and managing scarce medical resources during a mass casualty event

KQ = Key Question

From: Methods

Cover of Allocation of Scarce Resources During Mass Casualty Events
Allocation of Scarce Resources During Mass Casualty Events.
Evidence Reports/Technology Assessments, No. 207.
Timbie JW, Ringel JS, Fox DS, et al.

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