Ethical rationing of healthcare resources during COVID-19 outbreak: Review.
COVID-19
Ethics
Healthcare rationing
Justice
Pandemic
Journal
Ethics, medicine, and public health
ISSN: 2352-5525
Titre abrégé: Ethics Med Public Health
Pays: France
ID NLM: 101681177
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
18
11
2020
accepted:
20
01
2021
entrez:
15
2
2021
pubmed:
16
2
2021
medline:
16
2
2021
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 33585668
doi: 10.1016/j.jemep.2021.100633
pii: S2352-5525(21)00010-4
pmc: PMC7869626
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
100633Informations de copyright
© 2021 Elsevier Masson SAS. All rights reserved.
Références
Oncologist. 2020 Jun;25(6):e936-e945
pubmed: 32243668
Cleve Clin J Med. 2020 Jun 3;:
pubmed: 32493737
J Am Geriatr Soc. 2020 Jun;68(6):1136-1142
pubmed: 32374440
Eur J Anaesthesiol. 2021 Apr 1;38(4):344-347
pubmed: 33350712
Med J Aust. 2006 Nov 20;185(S10):S73-6
pubmed: 17115958
Malays J Med Sci. 2017 Dec;24(6):92-96
pubmed: 29379391
Health Policy. 2009 May;90(2-3):113-24
pubmed: 19070396
J Med Ethics. 2019 Oct;45(10):636-644
pubmed: 31221764
Bioethics. 2020 Jul;34(6):620-632
pubmed: 32433782
Curr Opin Crit Care. 2001 Dec;7(6):480-4
pubmed: 11805556
J Am Geriatr Soc. 2020 Jun;68(6):1143-1149
pubmed: 32374466
Rambam Maimonides Med J. 2020 Jul 31;11(3):
pubmed: 32792043
Cureus. 2020 May 23;12(5):e8248
pubmed: 32596068
Public Health Rep. 2007 Sep-Oct;122(5):573-8
pubmed: 17877303
N Engl J Med. 2020 May 21;382(21):2049-2055
pubmed: 32202722
Diagn Progn Res. 2020 May 20;4:11
pubmed: 32455168
J Am Coll Surg. 2020 Jun;230(6):1111-1113
pubmed: 32278727
Am J Disaster Med. 2020 Fall;14(4):287-298
pubmed: 32803748
Crit Care Med. 2006 Apr;34(4):958-63; quiz 971
pubmed: 16484912
Int J Technol Assess Health Care. 2020 Dec;36(6):540-544
pubmed: 33203491
Chest. 2011 Dec;140(6):1625-1632
pubmed: 22147821
J Infect Dev Ctries. 2020 Sep 30;14(9):968-970
pubmed: 33031082
Vaccine. 2011 Apr 12;29(17):3111-7
pubmed: 21376119
West J Emerg Med. 2020 Apr 13;21(3):477-483
pubmed: 32302284