When do caregivers ignore the veil of ignorance? An empirical study on medical triage decision–making

被引:0
作者
Azgad Gold
Binyamin Greenberg
Rael Strous
Oren Asman
机构
[1] Yehuda Abarbanel Mental Health Center,Forensic Psychiatry Unit
[2] Beer Yaakov-Ness Ziona Mental Health Center,Adolescent Psychiatry Department
[3] Mayanei Hayeshua Medical Center,Psychiatry Department
[4] Tel Aviv University,Nursing Department, School of Health Professions, Sackler Faculty of Medicine
来源
Medicine, Health Care and Philosophy | 2021年 / 24卷
关键词
Decision making; Blame attribution; Medical ethics; Resource allocation; Terror; Triage;
D O I
暂无
中图分类号
学科分类号
摘要
In principle, all patients deserve to receive optimal medical treatment equally. However, in situations in which there is scarcity of time or resources, medical treatment must be prioritized based on a triage. The conventional guidelines of medical triage mandate that treatment should be provided based solely on medical necessity regardless of any non-medical value-oriented considerations (“worst-first”). This study empirically examined the influence of value-oriented considerations on medical triage decision–making. Participants were asked to prioritize medical treatment relating to four case scenarios of an emergency situation resulting from a car collision. The cases differ by situational characteristics pertaining to the at-fault driver, which were related to culpability attribution.
引用
收藏
页码:213 / 225
页数:12
相关论文
共 132 条
  • [1] Alicke Mark D(2000)Culpable control and the psychology of blame Psychological Bulletin 126 556-574
  • [2] Baker Robert(1992)Triage and equality: An historical reassessment of utilitarian analyses of triage Kennedy Institute of Ethics Journal 2 103-123
  • [3] Strosberg Martin(2009)Ethical dilemmas in triage: A perspective from the Jewish philosophical tradition Ethics & Medicine 25 49-56
  • [4] Bodansky Daniel M S(2015)Triage management, survival, and the law in the age of Ebola Disaster Medicine and Public Health Preparedness 9 38-43
  • [5] Burkle Frederick M(2002)Why do we punish? Deterrence and just deserts as motives for punishment Journal of Personality and Social Psychology 83 284-299
  • [6] Burkle Christopher M(2006)Development of a triage protocol for critical care during an influenza pandemic Canadian Medical Association Journal 175 1377-1381
  • [7] Carlsmith Kevin M(2005)An exploration of accident and emergency nurse experiences of triage decision making in Hong Kong Accident and Emergency Nursing 13 206-213
  • [8] Darley John M(2007)Do knowledge and experience have specific roles in triage decision-making? Academic Emergency Medicine 14 722-726
  • [9] Robinson Paul H(2001)Ethics and triage Prehospital and Disaster Medicine: The Official Journal of the National Association of EMS Physicians and the World Association for Emergency and Disaster Medicine in association with the Acute Care Foundation 16 53-58
  • [10] Christian Michael D(2020)Fair allocation of scarce medical resources in the time of covid-19 The New England Journal of Medicine 29 774-781