Article Text
Abstract
The COVID-19 pandemic has placed an enormous burden on health systems, and guidelines have been developed to help healthcare practitioners when resource shortage imposes the choice on who to treat. However, little is known on the public perception of these guidelines and the underlying moral principles. Here, we assess on a sample of 1033 American citizens’ moral views and agreement with proposed guidelines. We find substantial heterogeneity in citizens’ moral principles, often not in line with the guidelines recommendations. As the guidelines are likely to directly affect a considerable number of citizens, our results call for policy interventions to inform people on the ethical rationale behind physicians or triage committees decisions to avoid resentment and feelings of unfairness.
- ethics
- behavioural research
This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
Statistics from Altmetric.com
Supplementary materials
Supplementary Data
This web only file has been produced by the BMJ Publishing Group from an electronic file supplied by the author(s) and has not been edited for content.
Footnotes
Contributors All authors contributed equally to this article.
Funding FF and SQ acknowledge the support of the Luxembourg National Research Fund (FNR COVID-19 Fast-track Grant 14715638- E.HAG).
Competing interests None declared.
Patient consent for publication Not required.
Ethics approval The project received ethics approval by the LISER Research Ethics Committee with official communication on 5 May by its Chair, Professor Axel Gosseries (UCL).
Provenance and peer review Not commissioned; externally peer reviewed.
Data availability statement Data are available upon request.
Other content recommended for you
- What is fair? Ethical analysis of triage criteria and disability rights during the COVID-19 pandemic and the German legislation
- Triage and justice in an unjust pandemic: ethical allocation of scarce medical resources in the setting of racial and socioeconomic disparities
- Patients’ perspectives on ethical principles to fairly allocate scarce surgical resources during the COVID-19 pandemic in the Netherlands: a Q-methodology study
- Identifying ethical values for guiding triage decisions during the COVID-19 pandemic: an Italian ethical committee perspective using Delphi methodology
- Who should get the scarce ICU bed? The US public’s view on triage in the time of COVID-19
- COVID-19 pandemic, the scarcity of medical resources, community-centred medicine and discrimination against persons with disabilities
- Enhancing the fairness of pandemic critical care triage
- Who will receive the last ventilator: why COVID-19 policies should not prioritise healthcare workers
- Promoting racial equity in COVID-19 resource allocation
- What is common and what is different: recommendations from European scientific societies for triage in the first outbreak of COVID-19