Show simple item record

dc.contributor.authorWong, Roger
dc.contributor.authorShim, Ashley
dc.contributor.authorSearles, Madison
dc.contributor.authorCaruso, Amy
dc.descriptionUploaded with written permission from Ian Wolfe, editor-in-chief of Journal of Pediatric Ethics. Obtained June 9, 2023.en_US
dc.description.abstractBackground The COVID-19 pandemic abruptly reversed the long-standing practice of open visitation in children’s hospitals, due to the concern that hospital visitors might contribute to the spread of disease. However, little is known about the unintended consequences of such policies, including the potential that they may disproportionately impact children and families of color and those from low-income communities. Methods We reviewed requests for an exception to a pediatric visitation policy made between August and November 2020 at a midsize American children’s hospital and collected data regarding details of the requests, demographics, family characteristics, and the patients’ medical histories. We compared the sample to the general patient population using bivariate tests and developed a logistic regression model to explore factors associated with the receipt of requests for an exception to a visitation policy. Results Regression models indicated that Black families were less likely to have their request for an exception to the visitation policy granted, compared to White families (odds ratio, OR = 0.06; 95 percent confidence interval, CI 0.01-0.84; p < .05). The families of children who were admitted to critical care were more likely to have their request for an exception granted (OR = 28.35; 95 percent CI 1.43-562.37, p < .05). Two of the three reviewers of requests for exceptions were found to be less likely to grant a request for an exception (OR = 0.05; 95 percent CI 0.00-0.84; p < .05; OR = 0.03; 95 percent CI 0.00-0.67; p < .05). Conclusions Our findings highlight the need to reconsider the risks and benefits of highly restrictive visitation policies that disproportionately impact vulnerable and marginalized children and their families. This study also provides a model for the broader, prospective analysis of the potential for disparities in the impact of any institutional policy.en_US
dc.publisherChildren's Minnesotaen_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.titleDo the Rules Always Apply? An Analysis of Exceptions to a COVID-19-Era Pediatric Visitation Policyen_US
dc.source.journaltitleJournal of Pediatric Ethicsen_US
dc.description.institutionUpstate Medical Universityen_US
dc.description.departmentPublic Health and Preventive Medicineen_US
dc.description.degreelevelN/Aen_US 2022en_US

Files in this item

Shim_2022_Do the rules always ...

This item appears in the following Collection(s)

Show simple item record

Attribution-NonCommercial-NoDerivatives 4.0 International
Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivatives 4.0 International