ArticleHEC forum : an interdisciplinary journal on hospitals' ethical and legal issues2021
Utilitarian Principlism as a Framework for Crisis Healthcare Ethics.
Article in HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Part 3: Ethics: 2025 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.Circulation · 2025Guideline
- Institutional Priority-Setting for Novel Drugs and Therapeutics: A Qualitative Systematic Review.International journal of health policy and management · 2024Pooled it
- Reduced utilitarian willingness to violate personal rights during the COVID-19 pandemic.PloS one · 2021Trial
- Care ethics and the transformation of care in an age of artificial intelligence.BMC medical ethics · 2026Article
- Lottery or Triage? Controlled Experimental Evidence from the COVID-19 Pandemic on Public Preferences for Allocation of Scarce Medical Resources.Medical decision making : an international journal of the Society for Medical Decision Making · 2026Article
- Challenging ageism in eCPR: the quiet discrimination.Critical care (London, England) · 2025Article
- "No, it is not a breach of my oath because it is beyond my control; I use the policies that are in place." Ethical challenges faced by healthcare workers in the provision of healthcare to cross-border migrants in Botswana.BMC medical ethics · 2025Article
- Accountability frameworks: A critical evolution in healthcare.Healthcare management forum · 2025Article
- Ethical Considerations of Using ChatGPT in Health Care.Journal of medical Internet research · 2023Article
- Article
- The role of patients in the governance of a sustainable healthcare system: A scoping review.PloS one · 2022Article
- The COVID-19 pandemic and organ donation and transplantation: ethical issues.BMC medical ethics · 2021Review
- COVID 19: A Cause for Pause in Undergraduate Medical Education and Catalyst for Innovation.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2021Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This paper introduces the model of Utilitarian Principlism as a framework for crisis healthcare ethics. In modern Western medicine, during non-crisis times, principlism provides the four guiding principles in biomedical ethics-autonomy, nonmaleficence, beneficence, and justice; autonomy typically emerges as the decisive principle. The physician-patient relationship is a deontological construct in which the physician's primary duty is to the individual patient and the individual patient is paramount. For this reason, we term the non-crisis ethical framework that guides modern medicine Deontological Principlism. During times of crisis, resources become scarce, standards of care become dynamic, and public health ethics move to the forefront. Healthcare providers are forced to work in non-ideal conditions, and interactions with individual patients must be considered in the context of the crisis. The COVID-19 pandemic has forced healthcare to shift to a more utilitarian framework with a greater focus on promoting the health of communities and populations. This paper puts forth the notion of Utilitarian Principlism as a framework for crisis healthcare ethics. We discuss each of the four principles from a utilitarian perspective and use clinical vignettes, based on real cases from the COVID-19 pandemic, for illustrative purposes. We explore how Deontological Principlism and Utilitarian Principlism are two ends of a spectrum, and the implications to healthcare as we emerge from the pandemic.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.