Who shall live and who shall die?: a factorial survey experiment on prioritizing COVID-19 patients under medical triage conditions

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dc.contributor.authorBartolomé Peral, Edurne
dc.contributor.authorDülmer, Hermann
dc.contributor.authorSiegers, Pascal
dc.contributor.authorBeckers, Tilo
dc.date.accessioned2026-02-20T16:19:04Z
dc.date.available2026-02-20T16:19:04Z
dc.date.issued2026
dc.date.updated2026-02-20T16:19:04Z
dc.description.abstractDuring the 2020 COVID-19 pandemic expert commissions developed ethical guidelines for prioritizing assistance in the event of insufficient resources (triage). However, ethical principles may deviate from laypeople′s moral standards. Our study aims to investigate which factors help laypeople justify for prioritizing a COVID-19 patient and which respondent characteristics–among them for the first time also values–moderate their impact on prioritizing decisions. The results of a factorial survey experiment conducted in Spain 2022 showed that the most important factors were the vaccination status and the smoking behavior of patients, contradicting ethical guidelines and revealing the need for better communication between experts and the public. Better communication also means incorporating laypeople’s moral views in the process of developing ethical guidelines. Moreover, patients′ family obligations, patients′ origin, age, and social class were analyzed. Our results show that some of these factors depend on respondents’ personal values (Schwartz values), vaccination context, and smoking behaviors.en
dc.description.sponsorshipThis work was supported by Ministerio de Ciencia e Innovación (Spain), grant number,PID2019-106882RB-I00, Ministerio de Ciencia, Innovación y Universidades (Spain), grant number PID2023-146998NB-I00, and German Science Foundation, grant number BE 4267/2-1en
dc.identifier.citationBartolomé Peral, E., Dülmer, H., Siegers, P., & Beckers, T. (2026). Who shall live and who shall die?: a factorial survey experiment on prioritizing COVID-19 patients under medical triage conditions. International Journal of Sociology, 56(1), 55-78. https://doi.org/10.1080/00207659.2025.2596497
dc.identifier.doi10.1080/00207659.2025.2596497
dc.identifier.eissn1557-9336
dc.identifier.urihttps://hdl.handle.net/20.500.14454/5188
dc.language.isoeng
dc.publisherRoutledge
dc.rights© 2025 The Author(s)
dc.subject.otherCOVID-19
dc.subject.otherFactorial survey
dc.subject.otherSchwartz values
dc.subject.otherSpain
dc.subject.otherTriage
dc.titleWho shall live and who shall die?: a factorial survey experiment on prioritizing COVID-19 patients under medical triage conditionsen
dc.typejournal article
dcterms.accessRightsopen access
oaire.citation.endPage78
oaire.citation.issue1
oaire.citation.startPage55
oaire.citation.titleInternational Journal of Sociology
oaire.citation.volume56
oaire.licenseConditionhttps://creativecommons.org/licenses/by-nc-nd/4.0/
oaire.versionCVoR
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