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In pandemics like COVID-19, the need for medical resources quickly outpaces available supply. policymakers need strategies to inform decisions about allocating scarce resources. We updated a systematic review on evidence-based approaches and searched databases through May 2020 for evaluation of strategies for policymakers. The 201 identified studies evaluated reducing demand for healthcare, optimizing existing resources, augmenting resources, and adopting crisis standards of care. Most research exists to reduce demand (n=149); 39 highe