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Consideraciones éticas y médico-legales sobre la limitación de recursos y
decisiones clínicas en la pandemia de la COVID-19
#MMPMIDC7221381
Martin-Fumadó C
; Gómez-Durán EL
; Morlans-Molina M
ä-/-ä 2020[Jul]; 46
(3
): 119-26
PMIDC7221381
show ga
The COVID-19 pandemic has raised ethical and medico-legal problems, which include
the equitable allocation of health resources, especially in relation to the
prioritization of patients and the rationing of resources. Priority setting is
always present in healthcare systems and depends on the theory of justice
applicable in each society. Resource rationing has been necessary in the COVID-19
pandemic, and therefore consensus documents have been published for
decision-making based on four fundamental ethical values: maximization of
benefits, treating people equally, contributing to creating social value and
giving priority to the worst off, from which specific recommendations derive:
maximize benefits; prioritize health workers; do not prioritize attendance on a
first-come, first-served basis; be sensitive to scientific evidence; recognize
participation in research and apply the same principles to COVID-19 patients as
to non-COVID-19 patients.