Objectives: One of the many challenges public health practitioners have faced during the COVID-19 pandemic is deciding on the optimal allocation of limited healthcare resources. The current paper addresses the normative question of how medical resources can be optimally distributed during the current pandemic.
Methods: As an article of short communication, an ethical analysis from the moral perspectives of distributive justice was conducted.
Results: As multiple moral considerations must be analyzed to construct an ethically grounded and systematic allocation system, conflicting notions regarding efficiency, equity, and distributive justice are considered. Several practical recommendations were derived by leveraging the values of utilitarian, egalitarian, and prioritarian approaches to the proposed normative question.
Conclusions: Transparent, equitable, and consistent allocation mechanisms underpinned by the ethical values and recommendations presented in this paper should inform prioritization guidelines when medical resources are stretched.
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http://dx.doi.org/10.1016/j.puhip.2021.100111 | DOI Listing |
J Paediatr Child Health
January 2025
Bangalore Medical College and Research Institute, Bengaluru, India.
Background: Bubble Continuous Positive Airway Pressure (bCPAP) has become a crucial intervention in neonatal care, particularly in resource-limited settings where access to advanced respiratory support is scarce. While bCPAP offers a cost-effective solution for neonatal respiratory distress, conducting clinical trials in these settings presents significant ethical challenges. Issues of justice, beneficence, and autonomy arise due to disparities in healthcare infrastructure, complexities surrounding informed consent, and the potential exploitation of vulnerable populations.
View Article and Find Full Text PDFNurs Crit Care
January 2025
School of Public Administration, Sichuan University, Chengdu, Sichuan, China.
Background: As the backbone of the intensive care unit nursing team, young nurses' emotional and psychological well-being is related to the physiological health and life outcomes of critically ill patients.
Aim: Exploring the impact of access to and utilization of organizational resources on emotional exhaustion among intensive care unit nurses.
Study Design: A cross-sectional survey.
Med Health Care Philos
January 2025
Faculty of Health and Medicine, Health Innovation One, Sir John Fisher Drive, Lancaster University, Lancaster, LA1 4AT, England.
Healthcare systems produce significant greenhouse gas emissions, raising an important question: should healthcare be treated like any other polluter when it comes to reducing its emissions, or is healthcare special because of its essential societal role? On one hand, reducing emissions is critical to combat climate change. On the other, healthcare depends on emissions to deliver vital services. The resulting tension surrounds an idea of healthcare exceptionalism and leads to the question I consider in this paper: to what extent (if any) should the valuable goals of healthcare form an exception to the burdens of reducing greenhouse gas emissions? The goals of this paper are twofold.
View Article and Find Full Text PDFInt J Psychol
February 2025
Department of Management Information Systems, College of Business Administration, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Previous studies have overlooked organisational inequalities and their influence on employee task performance. Anchored in equity theory, we address this gap by examining how promotion and compensation inequalities relate to employee task performance. Further, this study examines the myth of meritocracy as an underlying mechanism and overall perceived distributive justice as a boundary condition.
View Article and Find Full Text PDFEur Heart J Acute Cardiovasc Care
January 2025
Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
End-of-life (EOL) issues have become increasingly common in intensive therapy units (ITUs), largely due to advances in critical care that enable patients to be kept alive for extended periods. Death in the ITU now generally follows an EOL decision, which can pose ethical, emotional, and practical challenges. Our approach to such issues should be based on adherence to the four bioethical principles -autonomy, beneficence, nonmaleficence, and distributive justice- as well as the concept of proportionate care, and requires careful and effective communication with the whole ITU team, including the patient and their family.
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