Ethical-professional decision-making in exceptional situations given the Covid-19 pandemic: a scoping review
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Keywords

Bioética
Equidade no Acesso aos Serviços de Saúde
Tomada de Decisões Bioética
Equidad en el Acceso a los Servicios de Salud
Toma de Decisiones Bioethics
Equality in Access to the Health Services
Decision-making.

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Abstract

Objective: to present an overview of the ethical-professional decision-making process in exceptional situations at the beginning of the COVID-19 pandemic. Method: this is a scoping review, including documents published between December 2019 and July 2020 in the following databases: Google Scholar, PubMed, Scopus, SciELO, CINAHL and BVS. The PRISMA-ScR Checklist was adopted to present the review. Results: a total of 28 documents were selected, organized into five categories: Technical-Medical-Scientific Requirement, Justice and Equality, Health History, Commission for Shared Decision-Making and Severe Respiratory Condition. Conclusion: the criteria indicated to prioritize the care process targeted at critically-ill patients with COVID-19 were as follows: technical-medical-scientific parameters; severity of the clinical condition; older age; being a health professional; presence of incurable underlying diseases; carrying out draws; and patients with a higher survival probability. 

https://doi.org/10.17665/1676-4285.20226557
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