Mistrust and inconsistency during COVID-19: considerations for resource allocation guidelines that prioritise healthcare workers

October 26, 2020

Alexander T M Cheung, Brendan Parent

Journal of medical ethics

Clinical guidelines creation should follow, first of all, ethical standards. At the moment, this pandemic has demanded to speed up several kinds of processes, for example, resource allocation and triage policies. In line with the NYS Ventilator Allocation Guidelines statements, the nature of these two situations demands the practical exercise of ethics, which this article describes as the open acknowledgment of the need for specific human resources right now (healthcare workers) and also giving these same subjects much-needed guidance when making 'tie-breaking' decisions. Likewise, the authors accurately express that, as well as the law, institutions and the general population would help bring moral relief to doctors by understanding and supporting the fact that guidelines should be clear and structured enough to be followed straightforwardly, but not so rigid that they become impossible or even punitive to mold into specific situations. The science of practicing medicine implies knowing and following different kinds of rules, but it's art relies on the very personal synapsing inside every doctor of also knowing when frankly it might be best to break them. Letting the community examine a process like this and making it consistent transparently leaves less room for mistrust and, of course, unfairness.

Cheung ATM, Parent B. Mistrust and inconsistency during COVID-19: considerations for resource allocation guidelines that prioritise healthcare workers [published online ahead of print, 2020 Oct 26]. J Med Ethics. 2020;medethics-2020-106801. doi:10.1136/medethics-2020-106801

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