Please use this identifier to cite or link to this item:
Title: When rationing becomes inevitable in a pandemic: A discussion on the ethical considerations from a public health perspective
Author(s): Yip, Jeffrey Yuk Chiu 
Yip, Ka Huen 
Tsui, Zoe Wai King 
Issue Date: 2022
Publisher: Elsevier
Journal: Public Health in Practice 
Volume: 4
Start page: 1
End page: 3
Coronavirus Disease 2019 has presented extreme difficulties to healthcare resource allocation worldwide. Health resources, particularly during a pandemic, are limited even in developed countries. The main challenge for healthcare professionals is to be able to ration resources in an ethical manner. Therefore, this leads to ethical considerations that we aim to discuss in this paper, based on which, recommendations can be made for reference by healthcare management, policymakers, and public health practitioners.

Study design
This is a discussion paper.

A brief review of the major principles as they relate to the notion of rationing in a pandemic was conducted. We organized an ethical discussion from public health perspectives based on these major principles.

Prior to deciding the principles to adopt, a transparent and robust guideline for rationing must be established. There are four considerations that need to be made: transparency, consistency, inclusiveness, and accountability. There does not exist a “perfect” principle to adopt during rationing. However, in the authors' opinion, the most obvious principles that would be unsuitable during a healthcare crisis would be the equal worth and prioritarian principles. This leaves the equity principle, utilitarian and urgent need principles.

The recommendation of this discussion paper is to adopt multiple principles according to the situation of each country or even the particular hospital.
DOI: 10.1016/j.puhip.2022.100294
CIHE Affiliated Publication: Yes
Appears in Collections:HS Publication

Files in This Item:
File Description SizeFormat
View Online92 BHTMLView/Open
SFX Query Show full item record

Google ScholarTM




Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.