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  1. TI=Ethical rationing of healthcare resources during COVID 19 outbreak: Review
  2. AU="David Smith, A"

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  1. Artikel: Ethical rationing of healthcare resources during COVID-19 outbreak: Review.

    Srinivas, G / Maanasa, R / Meenakshi, M / Adaikalam, J M / Seshayyan, S / Muthuvel, T

    Ethics, medicine, and public health

    2021  Band 16, Seite(n) 100633

    Abstract: While rationing of healthcare resources is inevitable even in the most developed economies ... of healthcare rationing. Our search in various PubMed databases resulted articles explaining on the concept ... of ethicists and healthcare officials, will ensure fair practice. ...

    Abstract While rationing of healthcare resources is inevitable even in the most developed economies, particularly on the wake of a pandemic, ethical basis of its implementation needs to be reviewed. With sudden and huge demand for drugs and medical supplies and equipments, the need for rationing arises and thus the concept becomes unavoidable. Thus, we aimed to review and analyse on the key ethical issues in the concept of healthcare rationing. Our search in various PubMed databases resulted articles explaining on the concept of strategizing the priorities based on universal ethical principles of justice, benevolence and ensuring equality rather than wealth, power, geographical location or other personal biases. Concrete and pragmatic regulations and guidelines for systematic rationing have to be framed and followed. In addition, physicians being sensitive and empowered on deciding bedside rationing in coordination with the recommendations of ethicists and healthcare officials, will ensure fair practice.
    Sprache Englisch
    Erscheinungsdatum 2021-02-08
    Erscheinungsland France
    Dokumenttyp Journal Article ; Review
    ISSN 2352-5525
    ISSN 2352-5525
    DOI 10.1016/j.jemep.2021.100633
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  2. Artikel ; Online: Triage during the COVID-19 epidemic in Spain: better and worse ethical arguments.

    Herreros, Benjamin / Gella, Pablo / Real de Asua, Diego

    Journal of medical ethics

    2020  Band 46, Heft 7, Seite(n) 455–458

    Abstract: ... considered during the COVID-19 outbreak in Spain. Lacking national guidance or public coordination ... Triage decisions in situations of scarce resources were not extraordinary in the pre-COVID-19 era ... triage criteria used in the Spanish context during the COVID-19 epidemic. We will highlight our missed ...

    Abstract The COVID-19 pandemic has generated an imbalance between the clinical needs of the population and the effective availability of advanced life support (ALS) resources. Triage protocols have thus become necessary. Triage decisions in situations of scarce resources were not extraordinary in the pre-COVID-19 era; these protocols abounded in the context of organ transplantation. However, this prior experience was not considered during the COVID-19 outbreak in Spain. Lacking national guidance or public coordination, each hospital has been forced to put forth independent and autonomous triage protocols, most of which were, nonetheless, based on common ethical principles and clinical criteria. However, controversial, non-clinical criteria have also been defended by Spanish scientific societies and public institutions, including setting an age cut-off value for unilaterally withholding ALS, using 'social utility' criteria, prioritising healthcare professionals or using 'first come, first served' policies. This paper describes the most common triage criteria used in the Spanish context during the COVID-19 epidemic. We will highlight our missed opportunities by comparing these criteria to those used in organ transplantation protocols. The problems posed by subjective, non-clinical criteria will also be discussed. We hope that this critical review might be of use to countries at earlier stages of the epidemic while we learn from our mistakes.
    Mesh-Begriff(e) Betacoronavirus ; COVID-19 ; Clinical Protocols/standards ; Coronavirus Infections/epidemiology ; Health Care Rationing/ethics ; Humans ; Intensive Care Units ; Organ Transplantation/ethics ; Organ Transplantation/standards ; Pandemics ; Pneumonia, Viral/epidemiology ; SARS-CoV-2 ; Spain ; Triage/ethics
    Schlagwörter covid19
    Sprache Englisch
    Erscheinungsdatum 2020-05-18
    Erscheinungsland England
    Dokumenttyp Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 194927-5
    ISSN 1473-4257 ; 0306-6800
    ISSN (online) 1473-4257
    ISSN 0306-6800
    DOI 10.1136/medethics-2020-106352
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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