<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2594-2166</journal-id>
<journal-title><![CDATA[Medicina y ética]]></journal-title>
<abbrev-journal-title><![CDATA[Med. ética]]></abbrev-journal-title>
<issn>2594-2166</issn>
<publisher>
<publisher-name><![CDATA[Universidad Anáhuac México, Facultad de Bioética]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2594-21662022000200473</article-id>
<article-id pub-id-type="doi">10.36105/mye.2022v33n2.05</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Distribución ética de recursos, cuidados paliativos y otros aspectos bioéticos de relevancia en tiempos de pandemia en México]]></article-title>
<article-title xml:lang="en"><![CDATA[Ethical distribution of resources, palliative care, and other bioethical aspects in times of pandemic in Mexico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tudela Cuenca]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ríos Uriarte]]></surname>
<given-names><![CDATA[María Elizabeth de los]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández González]]></surname>
<given-names><![CDATA[Jhosue Alfredo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Católica de Valencia Instituto de Ciencias de la Vida ]]></institution>
<addr-line><![CDATA[Valencia ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Anáhuac Facultad de Bioética ]]></institution>
<addr-line><![CDATA[Huixquilucan Estado de México]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Español  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2022</year>
</pub-date>
<volume>33</volume>
<numero>2</numero>
<fpage>473</fpage>
<lpage>504</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2594-21662022000200473&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2594-21662022000200473&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2594-21662022000200473&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La atención médica durante la pandemia de COVID-19 representó grandes retos éticos y bioéticos. Entre los más complejos estuvieron la distribución de recursos sanitarios y la consecuente selección de pacientes para atender sus posibilidades de supervivencia, y la incorporación de los cuidados paliativos, el consentimiento informado y las voluntades anticipadas a los protocolos de actuación y admisión de pacientes. Desde criterios utilitaristas, que pugnaban únicamente por el valor social y la utilidad, hasta criterios personalistas basados en los principios de subsidiariedad y solidaridad, la atención de los pacientes se volvió apremiante sin importar su condición. En este artículo se aborda el dilema sobre los criterios de distribución que fue profundizándose a lo largo de este tiempo, y se propone que la protección de la salud, siendo un derecho humano universal, no puede pasar inadvertida en pacientes con pronósticos desfavorables, proponiéndose la incorporación de cuidados paliativos en la atención médica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Medical care during the COVID-19 pandemic presented major ethical and bioethical challenges. Among the most complex were the distribution of healthcare resources and the consequent selection of patients to meet their chances of survival, and the incorporation of palliative care, informed consent and advance directives into the protocols for action and admission of patients. From utilitarian criteria, which fought only for social value and utility, to personalistic criteria based on the principles of subsidiarity and solidarity, patient care became urgent regardless of their condition. This article addresses the dilemma about the criteria of distribution that deepened over this time, and proposes that health protection, being a universal human right, cannot go unnoticed in patients with unfavorable prognoses, proposing the incorporation of palliative care in medical care.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[recursos sanitarios]]></kwd>
<kwd lng="es"><![CDATA[bioética]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[Health resources]]></kwd>
<kwd lng="en"><![CDATA[Bioethics]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
</kwd-group>
</article-meta>
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