What Triage Issues Reveal: Ethics in the COVID-19 Pandemic in Italy and France
- PMID: 33169260
- PMCID: PMC7651791
- DOI: 10.1007/s11673-020-10059-y
What Triage Issues Reveal: Ethics in the COVID-19 Pandemic in Italy and France
Abstract
In today's pandemic, many countries have experienced shortages of medical resources and many healthcare providers have often been faced with dramatic decisions about how to allocate beds, intensive care, or ventilators. Despite recognizing the need for triage, responses are not the same everywhere, and opinions and practices differ around what guidelines should be used, how they should be implemented, and who should ultimately decide. To some extent, triage issues reflect community values, revealing a given society's moral standards and ideals. Our goal is to study two countries which share many common features-Italy and France-as they deal with the pandemic, revealing the moral organization of medicine and healthcare, the power structures, and the nature of the disruptions in each context.
Keywords: COVID-19 pandemic; Community values; France; Guidelines; Intensive care; Italy; Triage.
References
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- CCM (Centro nazionale per la prevenzione e il controllo delle malattie) [National Centre for Disease Prevention and Control (Italy)]. 2008. Piano nazionale di preparazione e risposta a una pandemia influenzale [National flu pandemic preparedness and response plan]. Ministero della Salute [Ministry of Health].
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- Conseil d’Etat [Council of State]. 2020. Décision du 15 avril. Accès aux soins de personnes résidant en EPHAD [Decision of April 15: Access to healthcare for people living in EPHADs].
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- Conseil National d’Ethique (CCNE) [National Council of Ethics]. 2020. COVID-19. Contribution du CCNE: Enjeux éthiques face à une pandémie [Ethical issues in the face of a pandemic]. March 13.
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- Debacker P., A. Moret, and J. Robillard. 2020. Le monde du handicap et de la santé mentale s'inquiète du tri en reanimation [The world of disability and mental health is concerned about triage in intensive care]. Hospimedia, April 17.
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