Access to care: age as a criterion of exclusion? The explicit and tacit forms of ethical recommendations in the COVID era (notice n° 577491)
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| fixed length control field | 02709cam a2200313 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250121134842.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Bourdaire-Mignot, Camille |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Access to care: age as a criterion of exclusion? The explicit and tacit forms of ethical recommendations in the COVID era |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2022.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 35 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | The allocation of resources and the choices involved in such decisions is an ongoing issue in healthcare. But the COVID crisis boosted the visibility of this subject while exacerbating it, since a central concern of the epidemic was the vital issue of access to intensive care. With the prospect of a highly serious risk of shortage, the fate of elderly patients immediately became a key aspect. In particular, the question was asked if age could be a criterion from excluding individuals from intensive care units. In France, the answer to this question was overwhelmingly “No”. Contrary to other countries, France refused to set a threshold age for access to intensive care. Supporting this decision, administrative authorities and learned societies issued numerous recommendations reasserting ethical principles based on equality, dignity and social justice. These texts gave the impression of continuity despite the crisis. Relating in varying degrees to the setting of standards – the recommendations all strove to guide the behaviour of the various medical decision-makers –, this corpus deserves to be studied from a legal standpoint with a view to identifying principles that come under pressure in crisis situations such as the COVID pandemic. Because while the texts conscientiously reminded readers that discriminating on the basis of age is forbidden, an indirect discrimination based on exactly that criterion can be read between the lines. And while age is combined with other specific situations or characteristics (with a thought for the residents of retirement homes), these texts can even lead to the true exclusion of the most vulnerable individuals from the general healthcare system. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | retirement home |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | access to care |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | recommendations on best practices |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | discrimination |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Covid-19 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | triage |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | retirement home |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | access to care |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | recommendations on best practices |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | discrimination |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Covid-19 |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | triage |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Gründler, Tatiana |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Retraite et société | o 88 | 1 | 2022-11-08 | p. 117-143 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/journal-retraite-et-societe-2022-1-page-117?lang=en&redirect-ssocas=7080">https://shs.cairn.info/journal-retraite-et-societe-2022-1-page-117?lang=en&redirect-ssocas=7080</a> |
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