La eficiencia no basta. Análisis ético y recomendaciones para la distribución de recursos escasos en situación de pandemia

Hortal-Carmona, Joaquín; Padilla-Bernáldez, Javier; Melguizo-Jiménez, Miguel; Ausín, Txetxu; Cruz-Piqueras, Maite; Vieja, María Teresa López de la; Puyol, Àngel; Rodríguez‐Arias, David; Tamayo-Velázquez, María-Isabel; Triviño, Rosana

doi:10.1016/j.gaceta.2020.07.006

Cited by 13 publications

(4 citation statements)

References 13 publications

(12 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Equitable distribution of the vaccine can be defined as one that is based on need, i.e., treating equally those who are in equal conditions of need, benefiting those who are disadvantaged by the pandemic, and avoiding systematic discrimination based on irrelevant criteria such as sex, ethnicity, etc. [13,32]. This distribution that considers need regardless of nationality and that prioritizes the vulnerable without discriminating based on country of origin 1 , is in line with Rawls' principle of difference [33].…”

Section: Proposals For a Global Equitable Distribution Of The Vaccinementioning

confidence: 91%

Global Distribution of COVID-19 Vaccine: Mine First

Hortal-Carmona¹,

Díaz-Cobacho

2022

Philosophies

Self Cite

View full text Add to dashboard Cite

The COVID-19 (SARS-CoV-2) pandemic dealt a severe blow to society as a whole and required countries to confront a situation that exceeded the limits of their borders. In this paper, we analyze how these countries as well as supranational organizations responded to this unprepared global emergency. We also explore what alternative models have been proposed in the wake of this crisis and propose some changes—other ways of acting—so that in future pandemics or global emergencies, we can deal with the situation more effectively.

show abstract

Section: Proposals For a Global Equitable Distribution Of The Vaccinementioning

confidence: 91%

Global Distribution of COVID-19 Vaccine: Mine First

Hortal-Carmona¹,

Díaz-Cobacho

2022

Philosophies

Self Cite

View full text Add to dashboard Cite

show abstract

“…As such, it is a process for managing clinical risk when demand and needs exceed available resources (Soler et al, 2010). Healthcare workers make use of clinical indicators, symptom categories, or vital risk assessments to establish levels of priority in their triage systems according to a system or plan based on an algorithm (Hortal-Carmona et al, 2021). Distinctions A distinction should be made between extraordinary situations (e.g., mass casualty disasters, pandemics, etc.)…”

Section: Functionsmentioning

confidence: 99%

Ethical assessments and mitigation strategies for biases in AI-systems used during the COVID-19 pandemic

et al. 2023

Self Cite

View full text Add to dashboard Cite

The main aim of this article is to reflect on the impact of biases related to artificial intelligence (AI) systems developed to tackle issues arising from the COVID-19 pandemic, with special focus on those developed for triage and risk prediction. A secondary aim is to review assessment tools that have been developed to prevent biases in AI systems. In addition, we provide a conceptual clarification for some terms related to biases in this particular context. We focus mainly on non-racial biases that may be less considered when addressing biases in AI systems in the existing literature. In the manuscript, we found that the existence of bias in AI systems used for COVID-19 can result in algorithmic justice and that the legal frameworks and strategies developed to prevent the apparition of bias have failed to adequately consider social determinants of health. Finally, we make some recommendations on how to include more diverse professional profiles in order to develop AI systems that increase the epistemic diversity needed to tackle AI biases during the COVID-19 pandemic and beyond.

show abstract

“…Estas decisiones tenían un importante componente legal, ya que se podía privar a algunos pacientes de un recurso sanitario que potencialmente precisaban para superar la enfermedad 3 . Por último, una vez definidos unos criterios clínicos en un marco legal específico, fue necesario tener en cuenta una serie de principios éticos en la distribución de los recursos 4 . Se desconoce la influencia relativa de estas decisiones y de otros factores implicados en el exceso de mortalidad observado en la primera ola de la pandemia en España: un aumento del 20% en el número de muertes por encima de lo esperado, superior al de países como Francia (11%) y el Reino Unido (18%), similar al de Italia y los Estados Unidos (22%), y menor que el de la República Checa (30%) 5 .…”

Section: Introductionunclassified