Orientaciones éticas para la toma de decisiones médicas en el contexto de la pandemia de COVID-19 en Chile

Luca Valera; María Alejandra Carrasco; Rodrigo López; Paulina Ramos; Rommy von Bernhardi; Paula Bedregal; Alejandra Florenzano; Iván Pérez; Patricia Olivares; Ivonne Vargas; Ximena González; Paulo López; Gloria Durán; Constanza Richards; Ricardo castro

Keywords: resource allocation, health planning guidelines, Ethics, Clinical

Abstract

The catastrophic emergency experienced by many countries with the COVID-19 pandemic emphasized the importance of bioethics for decision-making, both at the public health (equitable and effective policies) and at the clinical level. At the clinical level, the issues are the fulfillment of medical care demand with adequate health care teams, infrastructure, and supplies, and to cover critical care demands that surpass the available resources. Therefore, ethically correct approaches are required for the allocation of life sustaining resources. There are recommendations for the allocating life support during disasters based on multiple considerations, including ethical ones. However, the ethical criteria of existing guidelines are variable. Ethical principles usually considered are saving the greatest number of lives, saving the greatest number of years of life and the principle of the life cycle or the goal to give each individual equal opportunity to live through the various phases of life. However, the centrality of the human being and the search for the common good should be considered. Knowledge of public perspectives and moral benchmarks on these issues is essential. A successful assignment effort will require everyone's trust and cooperation. Decision making should be planned and discussed in advance, since in-depth deliberation will be extremely complex during the disaster. Our goal is to help the health care teams to wisely allocate resources in shortage periods.

Más información

Título según SCIELO: Orientaciones �ticas para la toma de decisiones m�dicas en el contexto de la pandemia de COVID-19 en Chile
Título de la Revista: REVISTA MEDICA DE CHILE
Volumen: 148
Número: 3
Editorial: SOC MEDICA SANTIAGO
Fecha de publicación: 2020
Página de inicio: 393
Página final: 398
Idioma: es
DOI:

10.4067/S0034-98872020000300393

Notas: SCIELO