Ethical Challenges Arising in the COVID-19 Pandemic: An Overview from the Association of Bioethics Program Directors (ABPD) Task Force
- 8 June 2020
- journal article
- retracted article
- Published by Taylor & Francis Ltd in American Journal of Bioethics
- Vol. 20 (7), 15-27
- https://doi.org/10.1080/15265161.2020.1764138
Abstract
The COVID-19 pandemic has raised a host of ethical challenges, but key among these has been the possibility that health care systems might need to ration scarce critical care resources. Rationing policies for pandemics differ by institution, health system, and applicable law. Most seem to agree that a patient’s ability to benefit from treatment and to survive are first-order considerations. However, there is debate about what clinical measures should be used to make that determination and about other factors that might be ethically appropriate to consider. In this paper, we discuss resource allocation and several related ethical challenges to the healthcare system and society, including how to define benefit, how to handle informed consent, the special needs of pediatric patients, how to engage communities in these difficult decisions, and how to mitigate concerns of discrimination and the effects of structural inequities.Keywords
This publication has 34 references indexed in Scilit:
- Public trust and vaccine acceptance-international perspectivesHuman Vaccines & Immunotherapeutics, 2013
- MSOFA: An Important Step Forward, but Are We Spending Too Much Time on the SOFA?Disaster Medicine and Public Health Preparedness, 2010
- Racial and Ethnic Disparities in Pain: Causes and Consequences of Unequal CareThe Journal of Pain, 2009
- An assessment of the validity of SOFA score based triage in H1N1 critically ill patients during an influenza pandemicAnaesthesia, 2009
- Principles for allocation of scarce medical interventionsThe Lancet, 2009
- Ethics and Rural Healthcare: What Really Happens? What Might Help?American Journal of Bioethics, 2008
- Long-term Psychological and Occupational Effects of Providing Hospital Healthcare during SARS OutbreakEmerging Infectious Diseases, 2006
- Facing SARS: psychological impacts on SARS team nurses and psychiatric services in a Taiwan general hospitalGeneral Hospital Psychiatry, 2005
- When Pestilence Prevails … Physician Responsibilities in EpidemicsAmerican Journal of Bioethics, 2004
- Physicians, AIDS, and Occupational RiskJAMA, 1987