Ethical and Operational Strategies for Scarce Resource Allocation
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JAMA Health Forum
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This commentary evaluates the proposal by Xiao et al. for using a policy learning tree–based approach to allocate scarce COVID‑19 monoclonal antibodies, noting that it could modestly reduce hospitalizations compared to conventional risk‑based strategies. It argues, however, that a strict focus on utilitarian efficiency (i.e. minimizing hospitalizations) risks undermining equity and ignoring broader ethical obligations. The authors emphasize that any model-based allocation system must be accompanied by transparent, ethically grounded principles and careful operationalization to ensure trustworthiness and fairness.
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10.1001/jamahealthforum.2024.2940
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Leider J, DeBruin D, Lim S. Ethical and Operational Strategies for Scarce Resource Allocation. JAMA Health Forum. 2024;5(9):e242940. doi:10.1001/jamahealthforum.2024.2940
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Leider, Jonathon; DeBruin, Debra; Lim, Sarah. (2024). Ethical and Operational Strategies for Scarce Resource Allocation. Retrieved from the University Digital Conservancy, 10.1001/jamahealthforum.2024.2940.
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