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

descriptionPublicationkeyboard_double_arrow_right Article 01 Nov 2021 Spain English Publisher:Elsevier BVJournal:Gaceta Sanitaria, volume 35, pages 525-533 (issn: 0213-9111,

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Authors: Hortal-Carmona, Joaquín; Padilla-Bernáldez, Javier; Melguizo-Jiménez, Miguel; Ausín, Txetxu; Cruz-Piqueras, Maite; López de la Vieja, María Teresa; Puyol, Àngel; +3 Authors

doi: 10.1016/j.gaceta.2020.07.006

handle: 10261/229061 , 20.500.14352/115527

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

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Abstract

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.

Country

Spain

Related Organizations

Spanish National Research Council
Spain
University of Salamanca
Spain
Autonomous University of Barcelona
Spain
University of Granada
Spain
Instituto de Filosofia
Portugal

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Keywords

Ética de la salud pública, Pandemia, Original, Bioética (Medicina), Health efficiency, Public Health, Environmental and Occupational Health, Humanidades, Public health ethics, Rationing, Eficiencia en salud, Public aspects of medicine, RA1-1270, 71 Ética, 17:61, Racionamiento, Pandemics, Health equity, Equidad en salud

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