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2020, Number 5

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salud publica mex 2020; 62 (5)

Bioethics guide on scarce medical resource allocation in Mexico

Medina-Arellano MJ, Palacios-González C, Santos-Preciado JI
Full text How to cite this article

Language: Spanish
References: 3
Page: 607-609
PDF size: 185.82 Kb.


Key words:

bioethics, triage, Covid-19.

ABSTRACT

The bioethical inquiry about allocating fairly scarce health resources is not new, all countries around the world that were seriously afflicted by SARS-CoV-2 have issued triage guidelines in order to address the dilemmas raised by the pandemic. There is no question about the need to create bioethical guidelines, since its creation provides a degree of certainty that fair and ethical decisions are taken. This also prevents that decisions are made in solitary and maybe motivated by corrupted actions. In Mexico, the creation of this guideline was a proactive and preventive measure to what was unavoidable, the exponential contagion phase of the pandemical scenario caused by Covid-19. On April 30, 2020 the General Sanitary Council published the Bioethical Guide to Allocate Scarce Resources on Critical Care Medicine in Emergency Situation. This guide has at its core that principle of utmost importance in social justice which main thesis is: “All lives have the same value”. The aim of this contribution is to provide the ethical and legal principles established in the aforementioned bioethical guideline. In sum, a brief exploration of the ethical reasons that support a specific way to allocate scarce health resources is provided, as well as the foundations of the procedural part from a human rights-based approach.


REFERENCES

  1. Consejo de Salubridad General. Guía bioética para asignación de recursos limitados de medicina crítica en situación de emergencia. Ciudad de México: CSG, 2020. Disponible en: http://www.csg.gob.mx/descargas/pdf/ index/informacion_relevante/GuiaBioeticaTriaje_30_Abril_2020_7pm.pdf

  2. White DB, Lo B. A framework for rationing ventilators and critical care beds during the COVID-19 pandemic. JAMA. 2020;323(18):1773-4. https:// doi.org/10.1001/jama.2020.5046

  3. Macklin R. Allocating medical resources fairly: the CSG bioethics guide. Salud Pública Mex. 2020;62:1-3. https://doi.org/10.21149/11486




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salud publica mex. 2020;62