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Los aspectos morales bioéticos y científicos guían las decisiones en el contexto
de recursos escasos durante la pandemia por COVID-19
#MMPMIDC7664473
Camargo Rubio RD
?-/-? 2021[Jul]; 21
(3
): 212-20
PMIDC7664473
show ga
INTRODUCTION: Health institutions may be faced with an overflow in medical care
and a decrease in resources in times of the COVID-19 pandemic. If so, they will
have to make decisions based on the principle of distributive justice to benefit
those who need it most and thus generate the greatest social good. OBJECTIVE: To
analyse the moral, bioethical, and scientific aspects in the decisions made in
the context of scarce resources due to the COVID-19 pandemic. METHODOLOGY: An
analysis and reflection was carried out on the moral, bioethical, and scientific
aspects, based on ethical concepts reported in the medical literature, and issued
during the COVID-19 pandemic. RESULTS: For the analysis and reflection, three
aspects were taken into account: 1. The moral basis of the decision (moral
action, ethical dilemma and conflict of interest, and moral theories). 2. The
bioethical basis of the decision (medical profession, hospital ethics committees,
clinical ethics, principles of bioethics). 3. The scientific basis for the
decision (triage in the pandemic with its priorities, other triage scales).
STATISTICS: Due to the type of reflection study, no statistical measures were
used. CONCLUSION: Moral sensitivity, bioethical reasoning, and scientific
knowledge are essential when making decisions in times of the allocation of
scarce resources. They will always be accompanying the decision of distributive
justice, as regards the respect for the dignity and rights of patients to health
and dignified death.