The coronavirus disease crisis provoked an organizational ethics dilemma: how to develop ethical pandemic policy while upholding our organizational mission to deliver relationship- and patient-centered care. Tasked with producing a recommendation about whether healthcare workers and essential personnel should receive priority access to limited medical resources during the pandemic, the bioethics department and survey and interview methodologists at our institution implemented a deliberative approach that included the perspectives of healthcare professionals and patient stakeholders in the policy development process. Involving the community more, not less, during a crisis required balancing the need to act quickly to garner stakeholder perspectives, uncertainty about the extent and duration of the pandemic, and disagreement among ethicists about the most ethically supportable way to allocate scarce resources. This article explains the process undertaken to garner stakeholder input as it relates to organizational ethics, recounts the stakeholder perspectives shared and how they informed the triage policy developed, and offers suggestions for how other organizations may integrate stakeholder involvement in ethical decision-making as well as directions for future research and public health work.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1017/s0963180120000924
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy

Upload a copy of this paper     Check publisher's policy     Papers currently archived: 60,021
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

Principles of Justice in Health Care Rationing.R. Cookson & Paul Dolan - 2000 - Journal of Medical Ethics 26 (5):323-329.

View all 13 references / Add more references

Citations of this work BETA

No citations found.

Add more citations

Similar books and articles

Nurse Time as a Scarce Healthcare Resource.Donna Dickenson - 1994 - In Geoffrey Hunt (ed.), Ethical issues in nursing. London: Routledge. pp. 207-217.
Three Elements of Stakeholder Legitimacy.Adele Santana - 2012 - Journal of Business Ethics 105 (2):257-265.
Ethical Implications of ‘Rationing’ Vs ‘Rationalization’.Maria Patrão Neves - 2020 - Eubios Journal of Asian and International Bioethics 30 (4):134-135.
Public Health Ethics: Resource Allocation and the Ethics of Legitimacy.Kristine Bærøe - 2013 - Journal of Clinical Research and Bioethics 4 (1).


Added to PP index

Total views
2 ( #1,388,005 of 2,433,464 )

Recent downloads (6 months)
2 ( #298,810 of 2,433,464 )

How can I increase my downloads?


Sorry, there are not enough data points to plot this chart.

My notes