PhilSci Archive

Value choices in European COVID-19 vaccination schedules: how vaccination prioritization differs from other forms of priority setting

Wiśniowska, Karolina and Żuradzki, Tomasz and Ciszewski, Wojciech (2022) Value choices in European COVID-19 vaccination schedules: how vaccination prioritization differs from other forms of priority setting. Journal of Law and the Biosciences, 9 (2). ISSN 2053-9711

[img]
Preview
Text
Value choices in European COVID-19 vaccination schedules - APA.pdf

Download (1MB) | Preview

Abstract

With the limited initial availability of COVID-19 vaccines in the first months of 2021, decision-makers had to determine the order in which different groups were prioritized. Our aim was to find out what normative approaches to the allocation of scarce preventive resources were embedded in the national COVID-19 vaccination schedules. We systematically reviewed and compared prioritization regulations in 27 members of the European Union, the United Kingdom, and Israel. We differentiated between two types of priority categories: groups that have increased infection fatality rate (IFR) compared to the average for the general population and groups chosen because their members experience increased risk of being infected (ROI). Our findings show a clear trend: all researched schedules prioritized criteria referring to IFR (being over 65 years old and coexisting health conditions) over the ROI criteria (eg occupation and housing conditions). This is surprising since, in the context of treatment, it is common and justifiable to adopt different allocation principles (eg introducing a saving more life-year approach or prioritizing younger patients). We discuss how utilitarian, prioritarian, and egalitarian principles can be applied to interpret normative differences between the allocation of curative and preventive interventions.


Export/Citation: EndNote | BibTeX | Dublin Core | ASCII/Text Citation (Chicago) | HTML Citation | OpenURL
Social Networking:
Share |

Item Type: Published Article or Volume
Creators:
CreatorsEmailORCID
Wiśniowska, Karolinakarolina.wisniowska@uj.edu.pl0000-0002-0848-9723
Żuradzki, Tomaszt.zuradzki@uj.edu.pl0000-0001-6749-2124
Ciszewski, Wojciechwojciech.ciszewski@uj.edu.pl
Keywords: health care ethics, prevention, prioritarianism, vaccination, vulnerability, COVID-19
Subjects: Specific Sciences > Medicine > Biomedical Ethics
Specific Sciences > Medicine > Epidemiology
General Issues > Ethical Issues
Specific Sciences > Medicine > Health and Disease
General Issues > Science and Policy
General Issues > Values In Science
Depositing User: Mr. Tomasz Żuradzki
Date Deposited: 01 Jan 2023 16:52
Last Modified: 01 Jan 2023 16:52
Item ID: 21601
Journal or Publication Title: Journal of Law and the Biosciences
Publisher: Oxford University Press
Official URL: https://doi.org/10.1093/jlb/lsac026
DOI or Unique Handle: https://doi.org/10.1093/jlb/lsac026
Subjects: Specific Sciences > Medicine > Biomedical Ethics
Specific Sciences > Medicine > Epidemiology
General Issues > Ethical Issues
Specific Sciences > Medicine > Health and Disease
General Issues > Science and Policy
General Issues > Values In Science
Date: 2022
Volume: 9
Number: 2
ISSN: 2053-9711
URI: https://philsci-archive-dev.library.pitt.edu/id/eprint/21601

Monthly Views for the past 3 years

Monthly Downloads for the past 3 years

Plum Analytics

Altmetric.com

Actions (login required)

View Item View Item