Funding
Our research is generously supported by:
Our Approach
An integrated cycle of ethical analysis and empirical research.
“Although some are better than others, no single principle allocates interventions justly. Rather, morally relevant simple principles must be combined into multiprinciple allocation systems.”
— Persad, Wertheimer & Emanuel, The Lancet, 2009
The Parker HCA Lab is a quantitative bioethics lab, leveraging advanced data science methods and normative analysis to engage the wicked problem of the allocation of scarce healthcare resources. We believe both methods are equally important to generate satisfactory solutions.
Research Spotlights
Featured publications from the lab
Status Exceptions and Misalignment of Medical Urgency in U.S. Pediatric Heart Transplantation
Pediatric heart transplant status exceptions are frequently granted to candidates who are not at the highest risk of waitlist death, contributing to misalignment between assigned medical urgency and actual mortality risk. The findings highlight opportunities to refine pediatric heart allocation policy.
The Association of Place-Based Disadvantage and Access to Deceased Donor Heart Transplantation
Area deprivation index (ADI) was associated with heart transplantation to a greater extent than other place-based disadvantage indices studied. The forthcoming continuous distribution provides an opportunity to incorporate ADI to address disparities in heart transplantation.
United States Candidate Risk Score (US-CRS) for Predicting Death Without Transplant in Adult Heart Transplant Candidates
A new risk score for heart transplant candidates predicts mortality on the waiting list, improving allocation beyond the current priority-tier system.
Common Longitudinal ICU Data Format (CLIF)
The CLIF consortium establishes a common data standard for ICU data science, enabling privacy-preserving federated research across multiple hospital systems.