Ethical Issues in Decision-making Regarding the Elderly Affected by Coronavirus Disease 2019: An Expert Opinion

The coronavirus disease 2019 (COVID-19) pandemic is resulting in ethical decisions regarding resource allocation. Prioritisation reflects established practices that regulate the distribution of finite resources when demand exceeds supply. However, discrimination based on sex, race or age has no role...

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Main Authors: David Martínez-Sellés, Helena Martínez-Sellés, Manuel Martínez-Sellés
Format: Article
Language:English
Published: Radcliffe Medical Media 2020-05-01
Series:European Cardiology Review
Online Access:https://www.ecrjournal.com/articleindex/ecr.2020.14
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author David Martínez-Sellés
Helena Martínez-Sellés
Manuel Martínez-Sellés
author_facet David Martínez-Sellés
Helena Martínez-Sellés
Manuel Martínez-Sellés
author_sort David Martínez-Sellés
collection DOAJ
description The coronavirus disease 2019 (COVID-19) pandemic is resulting in ethical decisions regarding resource allocation. Prioritisation reflects established practices that regulate the distribution of finite resources when demand exceeds supply. However, discrimination based on sex, race or age has no role in prioritisation unless clearly justified. The risk posed by COVID-19 is higher for elderly people than for younger people, so older adults should be prioritised in preventive measures. In the case of people who already have COVID-19, healthcare professionals might prioritise those most likely to survive. Making decisions based on chronological age alone is not justified; in addition to age, other aspects that determine theoretical life expectancy must be taken into account. Individualised correct prioritisation in the allocation of scarce resources is essential to good clinical practice.
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spelling doaj-art-ac9ba5ca43e7402ba06b4513781c7bc92024-12-14T16:01:58ZengRadcliffe Medical MediaEuropean Cardiology Review1758-37561758-37642020-05-011510.15420/ecr.2020.14Ethical Issues in Decision-making Regarding the Elderly Affected by Coronavirus Disease 2019: An Expert OpinionDavid Martínez-Sellés0Helena Martínez-Sellés1Manuel Martínez-Sellés2School of Medicine, Autonomous University of Barcelona, Barcelona, SpainSchool of Medicine, Complutense University of Madrid, Madrid, SpainSchool of Medicine, Complutense University of Madrid, Madrid, Spain; Cardiology Department, Gregorio Marañón University Hospital, CIBERCV, European University of Madrid, Madrid, SpainThe coronavirus disease 2019 (COVID-19) pandemic is resulting in ethical decisions regarding resource allocation. Prioritisation reflects established practices that regulate the distribution of finite resources when demand exceeds supply. However, discrimination based on sex, race or age has no role in prioritisation unless clearly justified. The risk posed by COVID-19 is higher for elderly people than for younger people, so older adults should be prioritised in preventive measures. In the case of people who already have COVID-19, healthcare professionals might prioritise those most likely to survive. Making decisions based on chronological age alone is not justified; in addition to age, other aspects that determine theoretical life expectancy must be taken into account. Individualised correct prioritisation in the allocation of scarce resources is essential to good clinical practice.https://www.ecrjournal.com/articleindex/ecr.2020.14
spellingShingle David Martínez-Sellés
Helena Martínez-Sellés
Manuel Martínez-Sellés
Ethical Issues in Decision-making Regarding the Elderly Affected by Coronavirus Disease 2019: An Expert Opinion
European Cardiology Review
title Ethical Issues in Decision-making Regarding the Elderly Affected by Coronavirus Disease 2019: An Expert Opinion
title_full Ethical Issues in Decision-making Regarding the Elderly Affected by Coronavirus Disease 2019: An Expert Opinion
title_fullStr Ethical Issues in Decision-making Regarding the Elderly Affected by Coronavirus Disease 2019: An Expert Opinion
title_full_unstemmed Ethical Issues in Decision-making Regarding the Elderly Affected by Coronavirus Disease 2019: An Expert Opinion
title_short Ethical Issues in Decision-making Regarding the Elderly Affected by Coronavirus Disease 2019: An Expert Opinion
title_sort ethical issues in decision making regarding the elderly affected by coronavirus disease 2019 an expert opinion
url https://www.ecrjournal.com/articleindex/ecr.2020.14
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