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A lay perspective on prioritization for intensive care in pandemic times: Vaccination status matters

Objektkategorie:
Elektronische Ressource
Person/Institution:
Sprengholz, Philipp
GND Explorer
Korn, Lars
GND Explorer
Felgendreff, Lisa
GND Explorer
Eitze, Sarah
GND Explorer
Betsch, Cornelia
GND Explorer
Entstehungszeit:
2022
Umfang, Illustration, Format:
8
Sprache:
Englisch
Enthalten in:
Clinical ethics
Bereitstellende Institution:
Forschungsbibliothek Gotha
GND Explorer
Abstract:
During a pandemic, demand for intensive care often exceeds availability. Experts agree that allocation should maximize benefits and must not be based on whether patients could have taken preventive measures. However, intensive care units (ICUs) are often overburdened by individuals with severe COVID-19 who have chosen not to be vaccinated to prevent the disease. This article reports an experiment that investigated the German public’s prioritization preferences during the fourth wave of the coronavirus pandemic (N = 1014). In a series of scenarios, participants were asked to decide on ICU admission for patients who differed in terms of health condition, expected treatment benefits, and vaccination status. The results reveal an in-group bias, as vaccinated individuals preferred to allocate more resources to the vaccinated than to the unvaccinated. Participants also favored admitting a heart attack patient rather than a COVID-19 patient with the same likelihood of benefiting from ICU admission, indicating a preference for maintaining regular ICU services rather than treating those with severe COVID-19. Finally, participants were more likely to admit a patient to intensive care when this meant withholding rather than withdrawing care from another patient. The results indicate that lay prioritizations violate established allocation principles, presaging potential conflicts between those in need of intensive care and those who provide and allocate it. It is therefore recommended that allocation principles should be explained to enhance public understanding. Additionally, vaccination rates should be increased to relieve ICUs and reduce the need for such triage decisions.
Objekttext:
Philipp Sprengholz, Lars Korn, Lisa Felgendreff, Sarah Eitze and Cornelia Betsch
First published online April 18, 2022

Zugriff und Nutzungsmöglichkeiten

Universität Erfurt
Forschungsbibliothek Gotha
Schloss Friedenstein
Schlossplatz 1
99867 Gotha
+49 361 737-5540
bibliothek.gotha(at)uni-erfurt.de
Datensatz angelegt am:
2023-04-12
Zuletzt geändert am:
2023-03-07
In Portal übernommen am:
2023-04-12