La eficiencia no basta. Análisis ético y recomendaciones para la distribución de recursos escasos en situación de pandemia

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 theoret...

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Detalles Bibliográficos
Autores principales: Hortal-Carmona, Joaquín, Padilla-Bernáldez, Javier, Melguizo-Jiménez, Miguel, Ausín, Txetxu, Cruz-Piqueras, Maite, López de la Vieja, María Teresa, Puyol, Àngel, Rodríguez-Arias, David, Tamayo-Velázquez, María-Isabel, Triviño, Rosana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SESPAS. Published by Elsevier España, S.L.U. 2021
Materias:
Original
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7830264/
https://www.ncbi.nlm.nih.gov/pubmed/33509638
http://dx.doi.org/10.1016/j.gaceta.2020.07.006
Descripción
Sumario: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.

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