RT Journal Article
T1 [Efficiency is not enough. Ethical analysis and recommendations for the allocation of scarce resources in a pandemic situation].
T2 La eficiencia no basta. Análisis ético y recomendaciones para la distribución de recursos escasos en situación de pandemia.
A1 Hortal-Carmona, Joaquín
A1 Padilla-Bernáldez, Javier
A1 Melguizo-Jiménez, Miguel
A1 Ausín, Txetxu
A1 Cruz-Piqueras, Maite
A1 López de la Vieja, María Teresa
A1 Puyol, Àngel
A1 Rodríguez-Arias, David
A1 Tamayo-Velázquez, María-Isabel
A1 Triviño, Rosana
K1 Eficiencia en salud
K1 Equidad en salud
K1 Health efficiency
K1 Health equity
K1 Pandemia
K1 Pandemics
K1 Public health ethics
K1 Racionamiento
K1 Rationing
K1 Ética de la salud pública
AB 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.
YR 2021
FD 2021-01-25
LK https://hdl.handle.net/10668/24853
UL https://hdl.handle.net/10668/24853
LA es
DS RISalud
RD Apr 8, 2025