Table 2.
Allocation principles1 | Survey questionnaire | Abbreviation | |
---|---|---|---|
Maximizing total benefits (utilitarianism) | |||
Save the most lives | Resources should be allocated in a way that can save more people | SMLV | |
Save the most life-years | Resources should be allocated first to those who can obtain greater health benefits | SMLY | |
Treating people equally (egalitarianism) | |||
First-come, first-served | Everyone should be treated equally; Therefore, resource allocation should be done on a first come, first served basis | FCFS | |
Random selection | Everyone should be treated equally; Therefore, resource allocation should be done through a lottery | RAND | |
Promoting and rewarding social usefulness | |||
Priority to those who have made relevant contributions (reciprocity) | Resources should be allocated first to those who have contributed to the related field, such as medical personnel who participated in the treatment of infectious diseases | RCPC | |
Priority to those who are likely to make relevant contributions (instrumental value) | Resources should be allocated first to those who can contribute to related fields in the future, such as medical personnel who can be assigned to treat patients with infectious diseases | ISMV | |
Favoring the worst-off (prioritarianism) | |||
Sickest first | Resources should be allocated first to those who are sicker | SICK | |
Youngest first | Resources should be allocated first to those who are younger | YONG | |
Favoring people with membership (identity-based allocation) | |||
Koreans first | Resources should be allocated first to those with Korean nationality | KORN | |
Compensating for not being responsible (luck-egalitarianism) | |||
Priority to those who are not responsible for the disease (personal responsibility) | Resources should be allocated first to those who are not personally responsible for the infection | RSPB |
In addition to the 8 principles reviewed by Emanuel et al. N Engl J Med 2020;382(21):2049-2055 [7], the authors added the principles of “Koreans first” and “personal responsibility.”