%0 Journal Article
%A Hortal-Carmona, Joaquín
%A Padilla-Bernáldez, Javier
%A Melguizo-Jiménez, Miguel
%A Ausín, Txetxu
%A Cruz-Piqueras, Maite
%A López de la Vieja, María Teresa
%A Puyol, Àngel
%A Rodríguez-Arias, David
%A Tamayo-Velázquez, María-Isabel
%A Triviño, Rosana
%T [Efficiency is not enough. Ethical analysis and recommendations for the allocation of scarce resources in a pandemic situation].
%D 2021
%U https://hdl.handle.net/10668/24853
%X To develop a support tool to decision-making in the framework of the COVID-19 pandemic. 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. Three principles are identified; strict equality, equity and efficiency, which are substantiated in specific distribution criteria. 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.
%K Eficiencia en salud
%K Equidad en salud
%K Health efficiency
%K Health equity
%K Pandemia
%K Pandemics
%K Public health ethics
%K Racionamiento
%K Rationing
%K Ética de la salud pública
%~