| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w26951 |
| 来源ID | Working Paper 26951 |
| Leaving No Ethical Value Behind: Triage Protocol Design for Pandemic Rationing | |
| Parag A. Pathak; Tayfun Sönmez; M. Utku Unver; M. Bumin Yenmez | |
| 发表日期 | 2020-04-13 |
| 出版年 | 2020 |
| 语种 | 英语 |
| 摘要 | Rationing of medical resources is a critical issue in the COVID-19 pandemic. Most existing triage protocols are based on a priority point system, in which a formula specifies the order in which the supply of a resource, such as a ventilator, is to be rationed for patients. A priority point system generates an identical priority ranking specifying claims on all units. Triage protocols in some states (e.g. Michigan) prioritize frontline health workers giving heavier weight to the ethical principle of instrumental value. Others (e.g. New York) do not, reasoning that if frontline workers obtain high enough priority, there is a risk that they obtain all units and none remain for the general community. This debate is pressing given substantial COVID-19 health risks for frontline workers. In this paper, we analyze the consequences of rationing medical resources through a reserve system. In a reserve system, resources are placed into multiple categories. Priorities guiding allocation of units can reflect different ethical values between these categories. A reserve system provides additional flexibility over a priority point system because it does not dictate a single priority order for the allocation of all units. It offers a middle-ground approach that balances competing objectives, such as in the medical worker debate. This flexibility requires attention to implementation, especially the processing order of reserve categories. We describe our model of a reserve system, characterize its potential outcomes, and examine distributional implications of particular reserve systems. We also discuss several practical considerations with triage protocol design. |
| 主题 | Microeconomics ; Market Structure and Distribution ; Health, Education, and Welfare ; Poverty and Wellbeing ; COVID-19 |
| URL | https://www.nber.org/papers/w26951 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/584624 |
| 推荐引用方式 GB/T 7714 | Parag A. Pathak,Tayfun Sönmez,M. Utku Unver,et al. Leaving No Ethical Value Behind: Triage Protocol Design for Pandemic Rationing. 2020. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w26951.pdf（501KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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