ArticleJournal of medical ethics2020
Dying individuals and suffering populations: applying a population-level bioethics lens to palliative care in humanitarian contexts: before, during and after the COVID-19 pandemic.
Article in Journal of medical ethics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The underrepresentation of palliative care in global guidelines for responding to infectious disease outbreaks: a systematic narrative review.International health · 2022Pooled it
- Access to opioids for palliative care in humanitarian settings: two case studies of Médecins Sans Frontières (MSF) experience in India and Bangladesh.BMC palliative care · 2025Article
- Risk management during times of health uncertainty in Spain: A qualitative analysis of ethical challenges.Risk analysis : an official publication of the Society for Risk Analysis · 2025Article
- Challenges of using body bags for COVID-19 deaths from the healthcare provider perspective - a qualitative study.BMJ open quality · 2024Article
- Dignity as a Central Issue in Treating Patients with Dementia Associated with COVID-19 Infection.Medicina (Kaunas, Lithuania) · 2023Article
- The impact of COVID-19 on the experiences of patients and their family caregivers with medical assistance in dying in hospital.BMC palliative care · 2023Article
- Moral Decision-Making in Healthcare and Medical Professions During the COVID-19 Pandemic.Trends in psychology · 2023Article
- Providing person-centered palliative care in conflict-affected populations in the Middle East: What matters to patients with advanced cancer and families including refugees?Frontiers in oncology · 2023Article
- Bioethics and Gerontology: The Value of Thinking Together.The Gerontologist · 2022Article
- Managing the end of life in COVID patients. The role of palliative care in emergency departments during the pandemic.Frontiers in sociology · 2022Article
- A qualitative study of nursing practitioners' experiences with COVID-19 patients dying alone in Greece.Frontiers in public health · 2022Article
- Impact of the COVID-19 Pandemic on Palliative Care in Cancer Patients in Spain.International journal of environmental research and public health · 2021Article
- Ethno-ethics Lens for Palliative Care Decision-making in COVID-19.International journal of community based nursing and midwifery · 2021Article
- Compounded trauma: A qualitative study of the challenges for refugees living with advanced cancer.Palliative medicine · 2021Article
- The "New-Old" Dimensions of Caring in Humanitarian Response: The Opportunity for Public Health Palliative Care to Advance the Humanitarian-Development Nexus, Decoloniality, and Localization Thought.Inquiry : a journal of medical care organization, provision and financingArticle
- Ethical Challenges Experienced by Healthcare Workers Delivering Clinical Care during Health Emergencies and Disasters: A Rapid Review of Qualitative Studies and Thematic Synthesis.AJOB empirical bioethicsReview
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHumanitarian crises and emergencies, events often marked by high mortality, have until recently excluded palliative care-a specialty focusing on supporting people with serious or terminal illness or those nearing death. In the COVID-19 pandemic, palliative care has received unprecedented levels of societal attention. Unfortunately, this has not been enough to prevent patients dying alone, relatives not being able to say goodbye and palliative care being used instead of intensive care due to resource limitations. Yet global guidance was available. In 2018, the WHO released a guide on
aimsThis paper argues that while a landmark document, the WHO guide took a narrowly clinical bioethics perspective and missed crucial moral dilemmas. We argue for adding a population-level bioethics lens, which draws forth complex moral dilemmas arising from the fact that groups having differential innate and acquired resources in the context of social and historical determinants of health. We discuss dilemmas concerning: limitations of material and human resources; patient prioritisation; euthanasia; and legacy inequalities, discrimination and power imbalances. IMPLICATIONS: In parts of the world where opportunity for preparation still exists, and as countries emerge from COVID-19, planners must consider care for the dying. Immediate steps to support better resolutions to ethical dilemmas of the provision of palliative care in humanitarian and emergency contexts will require honest debate; concerted research effort; and international, national and local ethical guidance.
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