A survey of the allocation of scarce resources in Türkiye during the COVID-19 pandemic: Which criteria did healthcare professionals prioritize?

Pub Date : 2024-03-20 DOI:10.1111/dewb.12448
Rahime Aydin Er, Gülten Çevik Nasirlier
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Abstract

COVID-19 caused an imbalance between medical resources and the number of patients in Türkiye like in many countries. There was not pandemic-triage system, and this situation led to decision making based on experience, intuition, and judgment of allocation of scarce resources. The research explains the guiding criteria that healthcare professionals used to prioritize the distribution of scarce medical resources during the COVID-19 pandemic. The criteria preferred by 928 healthcare professionals were evaluated when preventive measures for COVID-19 were reduced and so the number of cases increased rapidly. The results indicate that Turkish healthcare professionals largely support the utilitarian approach, which focuses on medical benefit in pandemic. The main problem was that some criteria not approved in COVID-19 triage guidelines were considered important by healthcare professionals. These criteria, which cause discrimination by preventing the provision of fair and equal medical care to patients, are a prominent issue in the study.

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调查 COVID-19 大流行期间土耳其稀缺资源的分配情况:医疗保健专业人员优先考虑哪些标准?
与许多国家一样,COVID-19 在土耳其造成了医疗资源与病人数量之间的不平衡。由于没有大流行病分诊系统,在这种情况下,只能根据经验、直觉和判断来决定稀缺资源的分配。研究解释了在 COVID-19 大流行期间,医疗保健专业人员在分配稀缺医疗资源的优先次序时所使用的指导标准。在 COVID-19 预防措施减少、病例数量迅速增加的情况下,对 928 名医疗保健专业人员首选的标准进行了评估。结果表明,土耳其医疗保健专业人员大多支持功利主义方法,即在大流行病中注重医疗效益。主要问题在于,医护人员认为 COVID-19 分诊指南中未批准的一些标准很重要。这些标准造成了歧视,阻碍了为患者提供公平、平等的医疗服务,是研究中的一个突出问题。
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