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Record W2801753303 · doi:10.5206/uwomj.v86i1.2162

Distributive justice in disaster triage

2017· article· en· W2801753303 on OpenAlexvenueno aff
Matthew Greenacre, Katherine Fleshner

Bibliographic record

VenueUniversity of Western Ontario Medical Journal · 2017
Typearticle
Languageen
FieldHealth Professions
TopicDisaster Response and Management
Canadian institutionsnot available
Fundersnot available
KeywordsTriageDistributive justiceUtilitarianismPopulationEconomic JusticeHealth care rationingValue (mathematics)EgalitarianismAutonomyHealth careBusinessPublic relationsLaw and economicsPolitical scienceSociologyMedicineLawMedical emergencyComputer scienceEnvironmental health

Abstract

fetched live from OpenAlex

Disasters that produce an overwhelming number of casualties demand that healthcare resources be rationed. Given the gravity of these decisions, it is imperative that they be guided by acceptable principles of distributive justice. Utilitarianism governs current disaster triage protocols because the efficient use of resources prevents the greatest amount of disability and mortality in the population. However, this conflicts with maximin egalitarianism, which demands that the most severely injured patients be prioritized even if it is not an efficient use of resources. Utilitarian triage also conflicts with the egalitarian principle of equal chances, which states that all people should be given an opportunity to be given treatment since all persons value their lives equally. Utilitarianism protects the needs of the entire population, and so demands that an individual patient’s right to autonomy and a fiduciary relationship with their physician must be sacrificed. Like other policies in a democratic society, the legitimacy of disaster triage protocols comes from support by the majority. For this reason, choosing the values that guide disaster triage requires open and transparent communal disaster planning that reflects the values of all members of society. Rather than prioritizing one principle over another, it is likely that the most just approach to allocating resources in disaster triage may be to apply a mixture of distributive justice principles.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.444
Threshold uncertainty score0.997

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0040.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.064
GPT teacher head0.388
Teacher spread0.324 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations7
Published2017
Admission routes1
Has abstractyes

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