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

Translated title of the contribution: Efficiency is not enough. Ethical analysis and recommendations for the allocation of scarce resources in a pandemic situation

Joaquín Hortal-Carmona*, Javier Padilla-Bernáldez, Miguel Melguizo-Jiménez, Txetxu Ausín, Maite Cruz-Piqueras, María Teresa López de la Vieja, Àngel Puyol, David Rodríguez-Arias, María Isabel Tamayo-Velázquez, Rosana Triviño

*Corresponding author for this work

Research output: Contribution to journalArticleResearchpeer-review

13 Citations (Scopus)

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.

Translated title of the contributionEfficiency is not enough. Ethical analysis and recommendations for the allocation of scarce resources in a pandemic situation
Original languageSpanish
Pages (from-to)525-533
Number of pages9
JournalGaceta Sanitaria
Volume35
Issue number6
Early online date25 Jan 2021
DOIs
Publication statusPublished - 1 Nov 2021

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