Please use this identifier to cite or link to this item: http://hdl.handle.net/11328/3318
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dc.contributor.authorPinho, Micaela-
dc.date.accessioned2021-01-07T16:45:41Z-
dc.date.available2021-01-07T16:45:41Z-
dc.date.issued2020-11-
dc.identifier.citationPinho, M. (2020). The challenge posed by the COVID-19 pandemic: how to decide who deserves life-saving medical devices?. International Journal of Health Governance. doi: 10.1108/IJHG-08-2020-0090. Disponível no Repositório UPT, http://hdl.handle.net/11328/3318pt_PT
dc.identifier.issn2059-4631-
dc.identifier.urihttp://hdl.handle.net/11328/3318-
dc.description.abstractPurpose – The current COVID-19 pandemic stressed the importance of discussing the problems surrounding the scarcity of healthcare resources. Healthcare rationing has been a constant issue, but in the present pandemic, the need to choose who to treat and who to let die became a pressing reality. What criteria to adopt or what protocol to follow is a difficult challenge politicians face because it involves moral judgments and/or ethical values. As there are multiple ethically permissible criteria to allocate life-saving medical resources and we will all bear the consequences of these rationing decisions, it is important to explore the appropriateness of each of these approaches. Here, the author describes the main rationing criteria proposed in the literature and explores their applicability to an absolute scarcity of resources as the current one. Finally, the author describes the ongoing COVID-19 pandemic in Portugal and proposes some guidelines to ensure a fair allocation of resources. Design/methodology/approach – A literature review was made regarding some rationing protocols, and a qualitative research was followed to collect data regarding the number of daily infected and daily deaths by COVID-19. Findings – Portugal has not, fortunately and so far, been as badly hit by COVID-19 as other European Countries. However a rigorous and explicit protocol is lacking to help health professionals at the frontline to take legitimate rationing decisions. Practical implications – The author contributes for the discussion about life-or-death decisions by proposing some clinical practice lines that may be applied fairly and consistently. Originality/value – This study is the first attempt to emphasize the need to set life-or-death guidelines in Portugal in a public health emergency and to propose some of these guidelines.pt_PT
dc.language.isoengpt_PT
dc.publisherEmerald Publishing Limitedpt_PT
dc.rightsrestrictedAccesspt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCOVID-19 pandemicpt_PT
dc.subjectScarcity of medical devicespt_PT
dc.subjectPriority decisionspt_PT
dc.subjectFairness judgmentspt_PT
dc.subjectPortugalpt_PT
dc.titleThe challenge posed by the COVID-19 pandemic: how to decide who deserves life-saving medical devices?pt_PT
dc.typearticlept_PT
dc.relation.publisherversionhttps://www.emerald.com/insight/content/doi/10.1108/IJHG-08-2020-0090/full/htmlpt_PT
dc.peerreviewedyespt_PT
degois.publication.titleInternational journal of health governancept_PT
dc.identifier.doi10.1108/IJHG-08-2020-0090pt_PT
Appears in Collections:REMIT – Artigos em Revistas Internacionais / Papers in International Journals



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