干旱区生态环境知识资源中心(Arid): COVID-19 vaccination status should not be used in triage tie-breaking

Arid

DOI	10.1136/medethics-2021-107836
	COVID-19 vaccination status should not be used in triage tie-breaking
	Schuman, Olivia; Robertson-Preidler, Joelle; Bibler, Trevor M.
通讯作者	Schuman, O (corresponding author)，Baylor Coll Med, Ctr Med Eth & Hlth Policy, Houston, TX 77030 USA.
来源期刊	JOURNAL OF MEDICAL ETHICS
ISSN	0306-6800
EISSN	1473-4257
出版年	2022-01
英文摘要	This article discusses the triage response to the COVID-19 delta variant surge of 2021. One issue that distinguishes the delta wave from earlier surges is that by the time it became the predominant strain in the USA in July 2021, safe and effective vaccines against COVID-19 had been available for all US adults for several months. We consider whether healthcare professionals and triage committees would have been justified in prioritising patients with COVID-19 who are vaccinated above those who are unvaccinated in first-order or second-order triage. Given that lack of evidence for a correlation between short-term survival and vaccination, we argue that using vaccination status during first-order triage would be inconsistent with accepted triage standards. We then turn to notions of procedural fairness, equity and desert to argue that that there is also a lack of justification for using vaccination status in second-order triage. In planning for future surges, we recommend that medical institutions base their triage decisions on principles meant to save the most lives, minimise inequity and protect the public's trust, which for the time being would not be served by the inclusion of vaccination status.
英文关键词	COVID-19 ethics- medical resource allocation
类型	Article ; Early Access
语种	英语
开放获取类型	Bronze
收录类别	SCI-E ; SSCI
WOS记录号	WOS:000740753900001
WOS关键词	CARE
WOS类目	Ethics ; Medical Ethics ; Social Issues ; Social Sciences, Biomedical
WOS研究方向	Social Sciences - Other Topics ; Medical Ethics ; Social Issues ; Biomedical Social Sciences
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/377174
作者单位	[Schuman, Olivia; Robertson-Preidler, Joelle; Bibler, Trevor M.] Baylor Coll Med, Ctr Med Eth & Hlth Policy, Houston, TX 77030 USA
推荐引用方式 GB/T 7714	Schuman, Olivia,Robertson-Preidler, Joelle,Bibler, Trevor M.. COVID-19 vaccination status should not be used in triage tie-breaking[J],2022.
APA	Schuman, Olivia,Robertson-Preidler, Joelle,&Bibler, Trevor M..(2022).COVID-19 vaccination status should not be used in triage tie-breaking.JOURNAL OF MEDICAL ETHICS.
MLA	Schuman, Olivia,et al."COVID-19 vaccination status should not be used in triage tie-breaking".JOURNAL OF MEDICAL ETHICS (2022).