The burning ethical question raised by the COVID-19 pandemic is how to deal fairly and ethically with a large number of patients simultaneously becoming critically unwell. Across the world, in both developed and developing countries, health systems are grappling with the possibility or the reality that the demand for intensive medical care will outstrip availability. There is a need for ethical guidelines on how to allocate treatment, but such guidelines are potentially highly controversial.1 In this commentary, we set out a simple algorithm (Figure 1), including what we take to be the essential ethical principles that ought to guide resource allocation in any country or setting as well as optional elements that will vary between countries depending on the weight placed on different ethical values (Table 1).

Savulescu, J., Vergano, M., Craxì, L., & Wilkinson, D. (2020). An ethical algorithm for rationing life sustaining treatment during the COVID-19 pandemic. BRITISH JOURNAL OF ANAESTHESIA, 125(3), 253-258 [10.1016/j.bja.2020.05.028].

An ethical algorithm for rationing life sustaining treatment during the COVID-19 pandemic

Craxì, Lucia;
2020

Abstract

The burning ethical question raised by the COVID-19 pandemic is how to deal fairly and ethically with a large number of patients simultaneously becoming critically unwell. Across the world, in both developed and developing countries, health systems are grappling with the possibility or the reality that the demand for intensive medical care will outstrip availability. There is a need for ethical guidelines on how to allocate treatment, but such guidelines are potentially highly controversial.1 In this commentary, we set out a simple algorithm (Figure 1), including what we take to be the essential ethical principles that ought to guide resource allocation in any country or setting as well as optional elements that will vary between countries depending on the weight placed on different ethical values (Table 1).
Settore MED/02 - Storia Della Medicina
Settore MED/43 - Medicina Legale
Savulescu, J., Vergano, M., Craxì, L., & Wilkinson, D. (2020). An ethical algorithm for rationing life sustaining treatment during the COVID-19 pandemic. BRITISH JOURNAL OF ANAESTHESIA, 125(3), 253-258 [10.1016/j.bja.2020.05.028].
File in questo prodotto:
File Dimensione Formato  
pre-proof algorithm.pdf

accesso aperto

Descrizione: Articolo principale
Tipologia: Pre-print
Dimensione 1.68 MB
Formato Adobe PDF
1.68 MB Adobe PDF Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/10447/423143
Citazioni
  • ???jsp.display-item.citation.pmc??? 13
  • Scopus 21
  • ???jsp.display-item.citation.isi??? 17
social impact