Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comment
. 2020 Aug;46(8):526-530.
doi: 10.1136/medethics-2020-106320. Epub 2020 Jun 16.

Triage of critical care resources in COVID-19: a stronger role for justice

Affiliations
Comment

Triage of critical care resources in COVID-19: a stronger role for justice

Lynette Reid. J Med Ethics. 2020 Aug.

Abstract

Some ethicists assert that there is a consensus that maximising medical outcomes takes precedence as a principle of resource allocation in emergency triage of absolutely scarce resources. But the nature of the current severe acute respiratory syndrome-related coronavirus 2 pandemic and the history of debate about balancing equity and efficiency in resource allocation do not support this assertion. I distinguish a number of concerns with justice and balancing considerations that should play a role in critical care triage policy, focusing on discrimination and on fundamental egalitarian and social justice concerns.

Keywords: distributive justice; public health ethics; resource allocation.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Comment on

References

    1. Emanuel EJ, Persad G, Upshur R, et al. Fair allocation of scarce medical resources in the time of COVID-19. N Engl J Med 2020;382(21):2049–55. 10.1056/NEJMsb2005114 - DOI - PubMed
    1. White DB, Lo B. A framework for rationing ventilators and critical care beds during the COVID-19 pandemic. JAMA 2020;323(18):1773–4. 10.1001/jama.2020.5046 - DOI - PubMed
    1. Peterson A, Largent EA, Karlawish J. Ethics of reallocating ventilators in the covid-19 pandemic. BMJ 2020;369:m1828. 10.1136/bmj.m1828 - DOI - PubMed
    1. NICE Social value judgments: principles for the development of NICE guidance. 2nd Edn, 2008.
    1. Kristensen FB, Lampe K, Wild C, et al. The HTA Core Model®-10 Years of Developing an International Framework to Share Multidimensional Value Assessment. Value Health 2017;20(2):244–50. 10.1016/j.jval.2016.12.010 - DOI - PubMed