Evidence map›Paper›PMID 33509638›Full record

ReviewGaceta sanitaria

[Efficiency is not enough. Ethical analysis and recommendations for the allocation of scarce resources in a pandemic situation].

Joaquín Hortal-Carmona, Javier Padilla-Bernáldez, Miguel Melguizo-Jiménez, Txetxu Ausín, Maite Cruz-Piqueras, María Teresa López de la Vieja, Àngel Puyol, David Rodríguez-Arias, María-Isabel Tamayo-Velázquez, Rosana Triviño

Abstract readReview
In one paragraph

Review in Gaceta sanitaria. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. One year on: Are we ready for COVID?Archivos de bronconeumologia · 2021
    Article
  4. Article
  5. One Year On: Are We Ready for COVID?Archivos de bronconeumologia · 2021
    Article
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Joaquín Hortal-CarmonaHospital de Guadix, Agencia Pública Sanitaria Hospital de Poniente, Granada, España; Red de Ética Salubrista para la Acción, Cuidados y Observación Social (ESPACyOS), España. Electronic address: johoca@gmail.com.
Javier Padilla-BernáldezServicio Madrileño de Salud, Colectivo Silesia, Madrid, España; Red de Ética Salubrista para la Acción, Cuidados y Observación Social (ESPACyOS), España.
Miguel Melguizo-JiménezCentro de Salud Almanjáyar, Servicio Andaluz de Salud, Granada, España; Red de Ética Salubrista para la Acción, Cuidados y Observación Social (ESPACyOS), España.
Txetxu AusínRed de Ética Salubrista para la Acción, Cuidados y Observación Social (ESPACyOS), España; Instituto de Filosofía, Centro Superior de Investigaciones Científicas (CSIC), Madrid, España.
Maite Cruz-PiquerasRed de Ética Salubrista para la Acción, Cuidados y Observación Social (ESPACyOS), España; Escuela Andaluza de Salud Pública, Granada, España.
María Teresa López de la ViejaRed de Ética Salubrista para la Acción, Cuidados y Observación Social (ESPACyOS), España; Departamento de Historia del Derecho, Filosofía Jurídica, Moral y Política, Facultad de Filosofía, Universidad de Salamanca, Salamanca, España.
Àngel PuyolRed de Ética Salubrista para la Acción, Cuidados y Observación Social (ESPACyOS), España; Departamento de Filosofía, Facultad de Filosofía y Letras, Universitat Autònoma de Barcelona, Barcelona, España.
David Rodríguez-AriasRed de Ética Salubrista para la Acción, Cuidados y Observación Social (ESPACyOS), España; Departamento de Filosofía 1, Facultad de Psicología, Unidad Científica de Excelencia FiloLab, Universidad de Granada, Granada, España.
María-Isabel Tamayo-VelázquezRed de Ética Salubrista para la Acción, Cuidados y Observación Social (ESPACyOS), España; Escuela Andaluza de Salud Pública, Granada, España.
Rosana TriviñoRed de Ética Salubrista para la Acción, Cuidados y Observación Social (ESPACyOS), España; Departamento de Cirugía y Ciencias Médicas y Sociales, Facultad de Medicina y Ciencias de la Salud, Universidad de Alcalá, Madrid, España.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo develop a support tool to decision-making in the framework of the COVID-19 pandemic.

methodDifferent ethical recommendations that emerged in Spain on prioritizing scarce health resources in the COVID-19 pandemic first wave were searched; it was conducted a narrative review of theoretical models on distribution in pandemics to define an ethical foundation. Finally, recommendations are drawn to be applied in different healthcare settings.

resultsThree principles are identified; strict equality, equity and efficiency, which are substantiated in specific distribution criteria.

conclusionsA model for the distribution of scarce health resources in a pandemic situation is proposed, starting with a decision-making procedure and adapting the distribution criteria to different healthcare scenarios: primary care settings, nursing homes and hospitals.

Indexed as

COVID-19PandemicsEthical AnalysisHealth Care RationingHumansResource AllocationSARS-CoV-2Eficiencia en saludEquidad en saludÉtica de la salud públicaHealth efficiencyHealth equityPandemiaPandemicsPublic health ethicsRacionamientoRationing

Identifiers

PMID33509638
PMCPMC7830264

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.