{"id":"https://openalex.org/W3124588504","doi":null,"title":"Repeat Valve Surgery in Recurrent Drug Use Associated Infective Endocarditis: A Qualitative Study of Provider Attitudes and Approaches and a Normative Analysis of Relevant Bioethical Concepts","display_name":"Repeat Valve Surgery in Recurrent Drug Use Associated Infective Endocarditis: A Qualitative Study of Provider Attitudes and Approaches and a Normative Analysis of Relevant Bioethical Concepts","publication_year":2019,"publication_date":"2019-05-06","ids":{"openalex":"https://openalex.org/W3124588504","mag":"3124588504"},"language":"en","primary_location":{"id":"pmh:oai:dash.harvard.edu:1/42069204","doi":null,"is_oa":true,"landing_page_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:42069204","pdf_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:42069204","source":{"id":"https://openalex.org/S4306401540","display_name":"Digital Access to Scholarship at Harvard (DASH) (Harvard University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I136199984","host_organization_name":"Harvard University","host_organization_lineage":["https://openalex.org/I136199984"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Thesis or Dissertation"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:42069204","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5046793803","display_name":"Margaret C. Hayden","orcid":"https://orcid.org/0009-0004-4054-3402","observed_orcids":["https://orcid.org/0009-0004-4054-3402"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Margaret Hayden","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5046793803"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11551","display_name":"Infective Endocarditis Diagnosis and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11551","display_name":"Infective Endocarditis Diagnosis and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13147","display_name":"Ethics and bioethics in healthcare","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/injection-drug-use","display_name":"intravenous drug use","score":0.5889999866485596},{"id":"https://openalex.org/keywords/infective-endocarditis","display_name":"infective endocarditis","score":0.9940000176429749},{"id":"https://openalex.org/keywords/recurrent-endocarditis","display_name":"recurrent endocarditis","score":0.8040000200271606},{"id":"https://openalex.org/keywords/repeat-valve-surgery","display_name":"repeat valve surgery","score":0.9850000143051147},{"id":"https://openalex.org/keywords/surgical-decision-making","display_name":"surgical decision-making","score":0.8320000171661377},{"id":"https://openalex.org/keywords/health-professionals-attitudes","display_name":"clinician attitudes","score":0.7919999957084656},{"id":"https://openalex.org/keywords/implicit-bias","display_name":"implicit bias","score":0.8040000200271606},{"id":"https://openalex.org/keywords/medical-futility","display_name":"futility","score":0.796999990940094},{"id":"https://openalex.org/keywords/rationing-of-care","display_name":"rationing of care","score":0.8080000281333923},{"id":"https://openalex.org/keywords/bioethics","display_name":"bioethics","score":0.8740000128746033},{"id":"https://openalex.org/keywords/opioid-use-disorder","display_name":"opioid use disorder","score":0.902999997138977},{"id":"https://openalex.org/keywords/health-care-resource-allocation","display_name":"healthcare resource allocation","score":0.38499999046325684}],"concepts":[{"id":"https://openalex.org/C188084074","wikidata":"https://www.wikidata.org/wiki/Q194294","display_name":"Bioethics","level":2,"score":0.7538595199584961},{"id":"https://openalex.org/C44725695","wikidata":"https://www.wikidata.org/wiki/Q288156","display_name":"Normative","level":2,"score":0.7360142469406128},{"id":"https://openalex.org/C2780176578","wikidata":"https://www.wikidata.org/wiki/Q2450598","display_name":"Infective endocarditis","level":2,"score":0.612969160079956},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5197650790214539},{"id":"https://openalex.org/C2780035454","wikidata":"https://www.wikidata.org/wiki/Q8386","display_name":"Drug","level":2,"score":0.5063308477401733},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.45507872104644775},{"id":"https://openalex.org/C2775872228","wikidata":"https://www.wikidata.org/wiki/Q82504","display_name":"Endocarditis","level":2,"score":0.43134766817092896},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.4131730794906616},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.34607994556427},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.33057841658592224},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3247684836387634},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.2431493103504181},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.2189161777496338},{"id":"https://openalex.org/C98274493","wikidata":"https://www.wikidata.org/wiki/Q128406","display_name":"Pharmacology","level":1,"score":0.21163472533226013},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.2055734395980835},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.16020828485488892},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.1248161792755127},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.10926938056945801}],"mesh":[],"locations_count":2,"locations":[{"id":"pmh:oai:dash.harvard.edu:1/42069204","doi":null,"is_oa":true,"landing_page_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:42069204","pdf_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:42069204","source":{"id":"https://openalex.org/S4306401540","display_name":"Digital Access to Scholarship at Harvard (DASH) (Harvard University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I136199984","host_organization_name":"Harvard University","host_organization_lineage":["https://openalex.org/I136199984"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Thesis or Dissertation"},{"id":"mag:3124588504","doi":null,"is_oa":false,"landing_page_url":"https://dash.harvard.edu/handle/1/42069204","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:dash.harvard.edu:1/42069204","doi":null,"is_oa":true,"landing_page_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:42069204","pdf_url":"http://nrs.harvard.edu/urn-3:HUL.InstRepos:42069204","source":{"id":"https://openalex.org/S4306401540","display_name":"Digital Access to Scholarship at Harvard (DASH) (Harvard University)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I136199984","host_organization_name":"Harvard University","host_organization_lineage":["https://openalex.org/I136199984"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Thesis or Dissertation"},"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3124588504.pdf","grobid_xml":"https://content.openalex.org/works/W3124588504.grobid-xml"},"referenced_works_count":39,"referenced_works":["https://openalex.org/W47050195","https://openalex.org/W208080246","https://openalex.org/W1968476479","https://openalex.org/W1968645162","https://openalex.org/W1969214282","https://openalex.org/W1974086725","https://openalex.org/W1992310638","https://openalex.org/W2022396606","https://openalex.org/W2031215670","https://openalex.org/W2032733268","https://openalex.org/W2054245407","https://openalex.org/W2054436867","https://openalex.org/W2068816858","https://openalex.org/W2070535559","https://openalex.org/W2084318302","https://openalex.org/W2091870700","https://openalex.org/W2096422533","https://openalex.org/W2112238035","https://openalex.org/W2133393736","https://openalex.org/W2137893923","https://openalex.org/W2141661484","https://openalex.org/W2146082684","https://openalex.org/W2146691185","https://openalex.org/W2147435328","https://openalex.org/W2150696250","https://openalex.org/W2164822993","https://openalex.org/W2231900269","https://openalex.org/W2347128986","https://openalex.org/W2368828346","https://openalex.org/W2473086780","https://openalex.org/W2513312192","https://openalex.org/W2608446001","https://openalex.org/W2784189215","https://openalex.org/W2784205420","https://openalex.org/W2784229784","https://openalex.org/W2796200248","https://openalex.org/W2895993975","https://openalex.org/W2902849424","https://openalex.org/W2906245415"],"related_works":["https://openalex.org/W2977776471","https://openalex.org/W4324030091","https://openalex.org/W3133072811","https://openalex.org/W2961218724","https://openalex.org/W4210603628","https://openalex.org/W2890027343","https://openalex.org/W4205590330","https://openalex.org/W3108220167","https://openalex.org/W3024373400","https://openalex.org/W2945193922"],"abstract_inverted_index":{"Background:":[0],"Despite":[1],"growing":[2],"awareness":[3],"of":[4,8,64,112,126,182,190,227,244,264,268],"the":[5,43,62,135,179,225,262,302],"infectious":[6],"complications":[7],"opioid":[9],"use":[10,23,181],"disorder":[11],"there":[12],"is":[13,42,143,277],"little":[14],"consensus":[15],"on":[16,77,168,192],"how":[17,193,295,305],"to":[18,46,103,194,208,239,279,294,296,306],"best":[19],"treat":[20],"injection":[21],"drug":[22],"associated":[24],"infective":[25],"endocarditis":[26],"(IDU-IE),":[27],"particularly":[28],"when":[29],"patients":[30,70,120,140,212],"present":[31],"with":[32,71,74,83,86,116,121,141,299],"recurrent":[33,72,228],"infections":[34],"that":[35,275],"may":[36,230],"require":[37],"multiple":[38],"valve":[39,197],"surgeries.":[40],"This":[41],"first":[44],"study":[45],"empirically":[47],"examine":[48],"differing":[49],"attitudes":[50,65],"and":[51,56,66,128,148,153,175,178,236,253,266,288,301,304],"approaches":[52,67],"towards":[53,68],"this":[54],"clinical":[55],"bioethical":[57,171],"dilemma.":[58],"\\nObjective:":[59],"To":[60],"explore":[61],"diversity":[63],"treating":[69],"IDU-IE":[73,122,142,229],"a":[75,90,110,124,187,281],"focus":[76],"surgical":[78,157,164],"decision-making.":[79],"\\nDesign:":[80],"Qualitative":[81],"approach":[82,102,195],"semi-structured":[84],"interviews":[85],"healthcare":[87,114],"providers":[88,115],"at":[89],"single":[91,205],"academic":[92],"medical":[93],"center.":[94],"\\nApproach:":[95],"We":[96,108],"used":[97],"an":[98,250],"inductive,":[99],"grounded":[100],"theory":[101],"analyze":[104],"interview":[105],"data.":[106],"\\nParticipants:":[107],"selected":[109],"sample":[111],"19":[113],"experience":[117],"caring":[118,138],"for":[119,139,156,224],"across":[123],"variety":[125],"disciplines":[127],"departments.\\nKey":[129],"Results:":[130],"Three":[131],"themes":[132],"emerged":[133],"from":[134,200,249],"interviews:":[136],"1)":[137,173],"especially":[144],"challenging,":[145],"2)":[146,176],"implicit":[147],"explicit":[149],"bias":[150],"remain":[151],"pervasive,":[152],"3)":[154],"criteria":[155],"decision-making":[158],"are":[159],"not":[160,256],"transparent.":[161],"When":[162],"discussing":[163],"decision-making,":[165],"participants":[166],"relied":[167],"two":[169],"predominant":[170],"concepts:":[172],"futility":[174,265,276],"rationing":[177,267,298],"efficient":[180],"resources.":[183],"\\nConclusions:":[184],"There":[185],"was":[186],"wide":[188],"divergence":[189],"opinions":[191],"repeat":[196],"surgeries,":[198],"ranging":[199],"those":[201,209],"who":[202,210],"endorsed":[203],"strict":[204],"surgery":[206],"policies":[207],"felt":[211],"should":[213,254],"be":[214,280,292],"offered":[215],"as":[216,219],"many":[217],"surgeries":[218],"needed.":[220],"Creating":[221],"general":[222],"principles":[223,309],"care":[226,238,269],"help":[231],"provide":[232],"more":[233,289],"reliable,":[234],"equitable":[235],"predictable":[237],"these":[240,286,311],"patients.":[241],"The":[242],"creation":[243],"reasonable":[245],"guidelines":[246],"requires":[247],"input":[248],"interdisciplinary":[251],"group":[252],"address":[255],"only":[257],"empirical":[258],"data":[259],"but":[260],"also":[261],"appropriateness":[263],"questions.":[270],"Further":[271],"normative":[272],"analysis":[273],"reveals":[274],"unlikely":[278],"philosophically":[282],"rigorous":[283],"concept":[284],"in":[285,310],"discussions":[287],"thought":[290],"must":[291],"given":[293],"discuss":[297],"physicians":[300],"public":[303],"apply":[307],"its":[308],"cases.":[312]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2021-02-01T00:00:00"}
