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

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

doi:10.1016/j.gaceta.2020.07.006

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 journal › Article › Research › peer-review

17 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 contribution	Efficiency is not enough. Ethical analysis and recommendations for the allocation of scarce resources in a pandemic situation
Original language	Spanish
Pages (from-to)	525-533
Number of pages	9
Journal	Gaceta Sanitaria
Volume	35
Issue number	6
Early online date	25 Jan 2021
DOIs	https://doi.org/10.1016/j.gaceta.2020.07.006
Publication status	Published - 1 Nov 2021

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This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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10.1016/j.gaceta.2020.07.006Licence: CC BY-NC-ND

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Hortal-Carmona, J., Padilla-Bernáldez, J., Melguizo-Jiménez, M., Ausín, T., Cruz-Piqueras, M., López de la Vieja, M. T., Puyol, À., Rodríguez-Arias, D., Tamayo-Velázquez, M. I., & Triviño, R. (2021). La eficiencia no basta. Análisis ético y recomendaciones para la distribución de recursos escasos en situación de pandemia. Gaceta Sanitaria, 35(6), 525-533. https://doi.org/10.1016/j.gaceta.2020.07.006

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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.",

keywords = "Health efficiency, Health equity, Pandemics, Public health ethics, Rationing",

author = "Joaqu{\'i}n Hortal-Carmona and Javier Padilla-Bern{\'a}ldez and Miguel Melguizo-Jim{\'e}nez and Txetxu Aus{\'i}n and Maite Cruz-Piqueras and \{L{\'o}pez de la Vieja\}, \{Mar{\'i}a Teresa\} and {\`A}ngel Puyol and David Rodr{\'i}guez-Arias and Tamayo-Vel{\'a}zquez, \{Mar{\'i}a Isabel\} and Rosana Trivi{\~n}o",

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Hortal-Carmona, J, Padilla-Bernáldez, J, Melguizo-Jiménez, M, Ausín, T, Cruz-Piqueras, M, López de la Vieja, MT, Puyol, À, Rodríguez-Arias, D, Tamayo-Velázquez, MI & Triviño, R 2021, 'La eficiencia no basta. Análisis ético y recomendaciones para la distribución de recursos escasos en situación de pandemia', Gaceta Sanitaria, vol. 35, no. 6, pp. 525-533. https://doi.org/10.1016/j.gaceta.2020.07.006

TY - JOUR

T1 - La eficiencia no basta. Análisis ético y recomendaciones para la distribución de recursos escasos en situación de pandemia

AU - Hortal-Carmona, Joaquín

AU - Padilla-Bernáldez, Javier

AU - Melguizo-Jiménez, Miguel

AU - Ausín, Txetxu

AU - Cruz-Piqueras, Maite

AU - López de la Vieja, María Teresa

AU - Puyol, Àngel

AU - Rodríguez-Arias, David

AU - Tamayo-Velázquez, María Isabel

AU - Triviño, Rosana

PY - 2021/11/1

Y1 - 2021/11/1

N2 - 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.

AB - 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.

KW - Health efficiency

KW - Health equity

KW - Pandemics

KW - Public health ethics

KW - Rationing

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ER -

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

Abstract

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