Revista médica de Chile
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Revista médica de Chile · Dec 2021
[Ethical perspective for the COVID-19 vaccine prioritization in Chile].
The SARS-CoV-2 pandemic has generated an important health and economic impact on the world. Vaccines emerge as an intervention that can contribute to the control of the pandemic. Vaccines were approved for emergency use in the United States, Europe, as well as in Chile, however, they will not be immediately available, creating the need to prioritize vaccine distribution. ⋯ We propose three timeless values: maximizing benefits, prioritizing the most vulnerable, reciprocity, and two transversal bioethics principles: justice and transparency. This reference framework contributes to the vaccination plan communication, the decision-making by the authorities and supports the prioritization strategy's valúes framework. With an explicit values framework we can expect better communication or priorities, a greater acceptance of SARS-CoV-2 vaccination plan by the community and an increased vaccination coverage to protect the population.
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Diseases and treatments have different presentations and impact in men and women due to sex and gender differences. This issue justifies a gender differentiated approach in clinical practice guidelines. ⋯ Gender biases are evidenced in most of the GES guidelines.