Abstract
ObjectiveTo develop a support tool to decision-making in the framework of the COVID-19 pandemic. MethodDifferent ethical recommendations that emerged in Spain on prioritizing scarce health resources in the COVID-19 pandemic first wave were searched; it was conducted a narrative review of theoretical models on distribution in pandemics to define an ethical foundation. Finally, recommendations are drawn to be applied in different healthcare settings. ResultsThree principles are identified; strict equality, equity and efficiency, which are substantiated in specific distribution criteria. ConclusionsA model for the distribution of scarce health resources in a pandemic situation is proposed, starting with a decision-making procedure and adapting the distribution criteria to different healthcare scenarios: primary care settings, nursing homes and hospitals.
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