Evidence map›Paper›PMID 41014147›Full record

ArticleMedical decision making : an international journal of the Society for Medical Decision Making2026

Lottery or Triage? Controlled Experimental Evidence from the COVID-19 Pandemic on Public Preferences for Allocation of Scarce Medical Resources.

Rhys Llewellyn Thomas, Laurence Sj Roope, Raymond Duch, Thomas Robinson, Alexei Zakharov, Philip Clarke

Abstract read
In one paragraph

Article in Medical decision making : an international journal of the Society for Medical Decision Making, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Rhys Llewellyn ThomasHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID 0000-0003-0124-0391
Laurence Sj RoopeHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Raymond DuchNuffield College, University of Oxford, Oxford, UK.
Thomas RobinsonLondon School of Economics and Political Science, London, UK.
Alexei ZakharovHarris School of Public Policy, University of Chicago, Chicago, IL, USA.
Philip ClarkeHealth Economics Research Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundBioethicists have advocated lotteries to distribute scarce health care resources, highlighting the benefits that make them attractive amid growing health care challenges. During the COVID-19 pandemic, lotteries were used to distribute vaccines within priority groups in some settings, notably in the United States. Nonetheless, limited evidence exists on public attitudes toward lotteries.MethodsTo assess public support for vaccine allocation by lottery versus expert committee, we conducted a survey-based experiment during the pandemic. Between November 2020 and May 2021, data were collected from 15,380 respondents across 14 diverse countries. Respondents were randomly allocated (1:1) to 1 of 2 hypothetical scenarios involving COVID-19 vaccine allocation among nurses: 1) by lottery and 2) prioritization by a committee of expert physicians. The outcome was agreement on the appropriateness of the allocation mechanism on a scale ranging from 0 (

Indexed as

COVID-19COVID-19 VaccinesHealth Care RationingPublic OpinionTriageAdultFemaleHumansMaleMiddle AgedPandemicsSARS-CoV-2Surveys and QuestionnairesCOVID-19 VaccinesCOVID-19cross-country comparisionlottery allocationpublic preferencessurvey experimentvaccine allocation

Identifiers

PMID41014147
PMCPMC12705886

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.