Efficiency is not enough. Ethical analysis and recommendations for the allocation of scarce resources in a pandemic situation
Copyright © 2020 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved..
OBJECTIVE: To develop a support tool to decision-making in the framework of the COVID-19 pandemic.
METHOD: Different ethical recommendations that emerged in Spain on prioritizing scarce health resources in the COVID-19 pandemic first wave were searched; it was conducted a narrative review of theoretical models on distribution in pandemics to define an ethical foundation. Finally, recommendations are drawn to be applied in different healthcare settings.
RESULTS: Three principles are identified; strict equality, equity and efficiency, which are substantiated in specific distribution criteria.
CONCLUSIONS: A model for the distribution of scarce health resources in a pandemic situation is proposed, starting with a decision-making procedure and adapting the distribution criteria to different healthcare scenarios: primary care settings, nursing homes and hospitals.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:35 |
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| Enthalten in: |
Gaceta sanitaria - 35(2021), 6 vom: 04. Nov., Seite 525-533 |
| Sprache: |
Spanisch |
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| Weiterer Titel: |
La eficiencia no basta. Análisis ético y recomendaciones para la distribución de recursos escasos en situación de pandemia |
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| Beteiligte Personen: |
Hortal-Carmona, Joaquín [VerfasserIn] |
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| Links: |
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| Themen: |
Ética de la salud pública |
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| Anmerkungen: |
Date Completed 27.10.2021 Date Revised 15.02.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.gaceta.2020.07.006 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM320711641 |
|---|
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| 245 | 1 | 0 | |a Efficiency is not enough. Ethical analysis and recommendations for the allocation of scarce resources in a pandemic situation |
| 246 | 3 | 3 | |a La eficiencia no basta. Análisis ético y recomendaciones para la distribución de recursos escasos en situación de pandemia |
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| 500 | |a Date Revised 15.02.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2020 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved. | ||
| 520 | |a OBJECTIVE: To develop a support tool to decision-making in the framework of the COVID-19 pandemic | ||
| 520 | |a METHOD: Different ethical recommendations that emerged in Spain on prioritizing scarce health resources in the COVID-19 pandemic first wave were searched; it was conducted a narrative review of theoretical models on distribution in pandemics to define an ethical foundation. Finally, recommendations are drawn to be applied in different healthcare settings | ||
| 520 | |a RESULTS: Three principles are identified; strict equality, equity and efficiency, which are substantiated in specific distribution criteria | ||
| 520 | |a CONCLUSIONS: A model for the distribution of scarce health resources in a pandemic situation is proposed, starting with a decision-making procedure and adapting the distribution criteria to different healthcare scenarios: primary care settings, nursing homes and hospitals | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Eficiencia en salud | |
| 650 | 4 | |a Equidad en salud | |
| 650 | 4 | |a Health efficiency | |
| 650 | 4 | |a Health equity | |
| 650 | 4 | |a Pandemia | |
| 650 | 4 | |a Pandemics | |
| 650 | 4 | |a Public health ethics | |
| 650 | 4 | |a Racionamiento | |
| 650 | 4 | |a Rationing | |
| 650 | 4 | |a Ética de la salud pública | |
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| 700 | 1 | |a Tamayo-Velázquez, María-Isabel |e verfasserin |4 aut | |
| 700 | 1 | |a Triviño, Rosana |e verfasserin |4 aut | |
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