Evidence map›Paper›PMID 33559129›Full record

ArticleBioethics2021

Queue questions: Ethics of COVID-19 vaccine prioritization.

Alberto Giubilini, Julian Savulescu, Dominic Wilkinson

Open access · hybridAbstract read
In one paragraph

Article in Bioethics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
16.2field-weighted citation impact, top 1% of its field
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

16 citing papers in PubMed, 60 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. A Millian Case for Censoring Vaccine Misinformation.Journal of bioethical inquiry · 2023
    Article
  6. Drama as a Powerful Tool to Enrich Socio-scientific Argumentation.International journal of science and mathematics education · 2023
    Article
  7. Article
  8. Article
  9. Review
  10. How COVID-19 changed clinical research strategies: a global survey.The Journal of international medical research · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
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

3 authors at 2 institutions in 2 countries.

Alberto GiubiliniOxford Uehiro Centre for Practical Ethics, University of Oxford, Oxford, United Kingdom of Great Britain and Northern Ireland.ORCID 0000-0001-5163-3017
Julian SavulescuOxford Uehiro Centre for Practical Ethics, University of Oxford, Oxford, United Kingdom of Great Britain and Northern Ireland.ORCID 0000-0003-1691-6403
Dominic WilkinsonOxford Uehiro Centre for Practical Ethics, University of Oxford, Oxford, United Kingdom of Great Britain and Northern Ireland.ORCID 0000-0003-3958-8633
University of Oxford · GBThe University of Melbourne · AU

Funding

Wellcome Trust 104848/Z/14/ZWellcome Trust WT104848 and WT203132
6 · The paper itself

Abstract

The rapid development of vaccines against COVID-19 represents a huge achievement, and offers hope of ending the global pandemic. At least three COVID-19 vaccines have been approved or are about to be approved for distribution in many countries. However, with very limited initial availability, only a minority of the population will be able to receive vaccines this winter. Urgent decisions will have to be made about who should receive priority for access. Current policy in the UK appears to take the view that those who are most vulnerable to COVID-19 should get the vaccine first. While this is intuitively attractive, we argue that there are other possible values and criteria that need to be considered. These include both intrinsic and instrumental values. The former are numbers of lives saved, years of life saved, quality of the lives saved, quality-adjusted life-years (QALYs), and possibly others including age. Instrumental values include protecting healthcare systems and other broader societal interests, which might require prioritizing key worker status and having dependants. The challenge from an ethical point of view is to strike the right balance among these values. It also depends on effectiveness of different vaccines on different population groups and on modelling around cost-effectiveness of different strategies. It is a mistake to simply assume that prioritizing the most vulnerable is the best strategy. Although that could end up being the best approach, whether it is or not requires careful ethical and empirical analysis.

Indexed as

Ethical AnalysisCost-Benefit AnalysisCOVID-19COVID-19 VaccinesHealth PrioritiesHumansQuality-Adjusted Life YearsSARS-CoV-2Social ValuesUnited KingdomCOVID-19 VaccinesCOVID-19immunizationpandemic ethicsprioritizationvaccination ethics

Identifiers

PMID33559129
PMCPMC8013927
OpenAlexW3122334353

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.