Litcius/Paper detail

Fair allocation of scarce medical resources in the time of COVID-19: what do people think?

Francesco Fallucchi, Marco Faravelli, Simone Quercia

2020Journal of Medical Ethics47 citationsDOIOpen Access PDF

Abstract

The COVID-19 pandemic has placed an enormous burden on health systems, and guidelines have been developed to help healthcare practitioners when resource shortage imposes the choice on who to treat. However, little is known on the public perception of these guidelines and the underlying moral principles. Here, we assess on a sample of 1033 American citizens' moral views and agreement with proposed guidelines. We find substantial heterogeneity in citizens' moral principles, often not in line with the guidelines recommendations. As the guidelines are likely to directly affect a considerable number of citizens, our results call for policy interventions to inform people on the ethical rationale behind physicians or triage committees decisions to avoid resentment and feelings of unfairness.

Topics & Concepts

ResentmentPsychological interventionTriagePandemicFeelingScarcityPublic relationsHealth careCoronavirus disease 2019 (COVID-19)Resource allocationPsychologyAffect (linguistics)Health care rationingPolitical scienceSocial psychologyMedicineLawEconomicsPoliticsPsychiatryCommunicationMarket economyInfectious disease (medical specialty)MicroeconomicsPathologyDiseaseDisaster Response and ManagementEthics in medical practiceHealthcare cost, quality, practices