Ensuring nondiscrimination in pandemic prioritization decisions

Weiss, Matthew J.; Carnevale, Franco; Rochwerg, Bram; Oczkowski, Simon; Dhanani, Sonny

doi:10.1503/cmaj.75254

Cited by 1 publication

(1 citation statement)

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“…Even so, it is possible to find triage instruments in the allocation of different scarce resources that present discriminatory criteria [81]. From an ethical point of view, the exclusion of patients with comorbidities that do not influence their probability of survival is questionable and should not be considered [82].…”

Section: Ethical Aspectsmentioning

confidence: 99%

COVID-19: instruments for the allocation of mechanical ventilators—a narrative review

et al. 2020

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After the World Health Organization declared COVID-19 to be a pandemic, the elaboration of comprehensive and preventive public policies became important in order to stop the spread of the disease. However, insufficient or ineffective measures may have placed health professionals and services in the position of having to allocate mechanical ventilators. This study aimed to identify instruments, analyze their structures, and present the main criteria used in the screening protocols, in order to help the development of guidelines and policies for the allocation of mechanical ventilators in the COVID-19 pandemic. The instruments have a low level of scientific evidence, and, in general, are structured by various clinical, non-clinical, and tiebreaker criteria that contain ethical aspects. Few instruments included public participation in their construction or validation. We believe that the elaboration of these guidelines cannot be restricted to specialists as this question involves ethical considerations which make the participation of the population necessary. Finally, we propose seventeen elements that can support the construction of screening protocols in the COVID-19 pandemic.

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Section: Ethical Aspectsmentioning

confidence: 99%