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Gaceta Sanitaria
versão impressa ISSN 0213-9111
Resumo
HORTAL-CARMONA, Joaquín et al. Efficiency is not enough. Ethical analysis and recommendations for the allocation of scarce resources in a pandemic situation. Gac Sanit [online]. 2021, vol.35, n.6, pp.525-533. Epub 04-Abr-2022. ISSN 0213-9111. https://dx.doi.org/10.1016/j.gaceta.2020.07.006.
Objective:
To develop a support tool to decision-making in the framework of the COVID19 pandemic.
Method:
Different ethical recommendations that emerged in Spain on prioritizing scarce health resources in the COVID19 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.
Palavras-chave : Public health ethics; Health equity; Rationing; Health efficiency; Pandemics.
