[Ethical dimensions of prevention and planning in assisted-living facilities during the SARS-CoV-2 pandemic (Covid-19): a public health emergency]

Rev Esp Salud Publica. 2020 Sep 7:94:e202009105.
[Article in Spanish]

Abstract

The SARS-CoV-2 pandemic (Covid-19) has had a major impact on residents of assisted-living facilities. While it is plausible that the characteristics of these patients and their special clinical fragility have contributed to their greater vulnerability to infection, other related factors cannot be ruled out, such as the quality of management at these centers and the lack of planning for actions taken before and during the health crisis. Both aspects pertain to the field of public health, where the ethics of the common good conflicts with the autonomy of the individual.

La pandemia por SARS-CoV-2 (Covid-19) ha tenido un gran impacto en los residentes de centros sociosanitarios. Es probable que las características de estos pacientes y su especial fragilidad clínica hayan contribuido a una mayor vulnerabilidad a la infección, pero no se pueden descartar otros factores asociados a la misma como son la gestión de los centros y la falta de planificación de las actuaciones antes y durante la crisis sanitaria. Ambos aspectos pertenecen al ámbito de la salud pública, donde la ética del bien común entra en conflicto con la autonomía de las personas.

Keywords: Emergency planning; Ethic; Public health; SARS-CoV-2; Social health centers; Spain.

Publication types

  • Review

MeSH terms

  • Assisted Living Facilities / ethics*
  • Betacoronavirus
  • COVID-19
  • Community Health Planning / ethics*
  • Coronavirus Infections / epidemiology
  • Coronavirus Infections / prevention & control*
  • Humans
  • Pandemics / prevention & control*
  • Pneumonia, Viral / epidemiology
  • Pneumonia, Viral / prevention & control*
  • Public Health / ethics*
  • Risk Factors
  • SARS-CoV-2
  • Spain / epidemiology