Ethics in Health Administration: A Practical Approach for Decision Makers

by Morrison, Eileen E.

• ISBN13: 9780763726522
• ISBN10: 0763726524
• Format: Paperback
• Copyright: 2005-09-21
• Publisher: Jones & Bartlett Learning

Summary

Second Edition available in October! Useful to both graduate and undergraduate learners, Ethics in Health Administration: A Practical Approach for Decision Makers translates the principles and practice of ethics into usable information for application To The real world of health care administration. Based on a model that centers on the administratorsrs" role in practice-based ethics, this text also recognizes influences that impact their ethics in decision making. Fictional cases based on real world events help to emphasize chapter content and make it interesting For The learner. Each chapter contains at least two cases for class discussion, As well as references and websites.

Table of Contents

Gratitudes	xi
Contributors	xiii
Section I Foundations for Ethics	1	(78)
Introduction	1	(3)
Reference	4	(1)
Chapter 1 Practical Theory	5	(20)
Points to Ponder	5	(1)
Words to Remember	5	(1)
Introduction	5	(1)
Why Study Ethics Theory?	6	(1)
St. Thomas Aquinas (1225-1274)	7	(1)
Immanuel Kant (1724-1804)	8	(2)
John Stuart Mill (1806-1873)	10	(2)
John Rawls (1921-2002)	12	(2)
Personal Ethics Theorists	14	(1)
Martin Buber (1878-1965)	14	(2)
Lawrence Kohlberg (1927-1987)	16	(3)
Viktor Frankl (1905-1997)	19	(1)
What Is Ethics?	20	(2)
Summary	22	(1)
Web Resources	22	(1)
References	22	(3)
Chapter 2 Autonomy	25	(20)
Points to Ponder	25	(1)
Words to Remember	25	(1)
Introductions and Definitions	25	(1)
Autonomy as Informed Consent	26	(3)
Autonomy as Confidentiality	29	(2)
Autonomy as Truth-Telling	31	(2)
Autonomy as Fidelity	33	(2)
Summary	35	(1)
Cases for Your Consideration	36	(7)
Web Resources	43	(1)
References	43	(2)
Chapter 3 Nonmaleficence and Beneficence	45	(18)
Points to Ponder	45	(1)
Words to Remember	45	(1)
Introduction and Definitions	45	(1)
Nonmaleficence in Health Care Settings	46	(4)
Beneficence in Health Care Settings	50	(3)
Summary	53	(1)
Cases for Your Consideration	53	(9)
Web Resources	62	(1)
References	62	(1)
Chapter 4 Justice	63	(16)
Points to Ponder	63	(1)
Words to Remember	63	(1)
Introduction and Definitions	63	(1)
Justice for Patients	64	(1)
Distributive Justice	65	(4)
Staff Justice	69	(3)
Summary	72	(1)
Cases for Your Consideration	73	(4)
Web Resource	77	(1)
References	77	(2)
Section II External Influences on Ethics	79	(94)
Introduction	79	(4)
Chapter 5 Quis Custodiet Ispos Custodes? Who Will Guard the Guardians?	83	(28)
Points to Ponder	83	(1)
Words to Remember	83	(1)
The Age of Accountability	84	(7)
The Ethics of Advocacy	91	(2)
The Ethics of Staff Competency	93	(8)
Summary	101	(1)
Cases for Your Consideration	101	(7)
Web Resources	108	(1)
References	108	(3)
Chapter 6 Market Forces and Ethics	111	(22)
Points to Ponder	111	(1)
Words to Remember	111	(1)
Introduction and Definitions of Market Forces	112	(1)
General Market Forces	112	(2)
Managed Care and Ethics	114	(4)
Where Is the Ethics?	118	(4)
Integrated Medicine (IM) and Ethics	122	(4)
Summary	126	(1)
Cases for Your Consideration	127	(5)
Web Resources	132	(1)
References	132	(1)
Chapter 7 Social Responsibility and Ethics	133	(18)
Points to Ponder	133	(1)
Words to Remember	133	(1)
What Is Social Responsibility in the Health Care Business?	134	(2)
Prevention as Social Responsibility	136	(4)
Quality Assurance as Social Responsibility	140	(2)
Summary	142	(1)
Cases for Your Consideration	142	(7)
Web Resources	149	(1)
References	149	(2)
Chapter 8 Technology and Ethics	151	(22)
Points to Ponder	151	(1)
Words to Remember	151	(1)
Technology and Its Impact on Health Care	152	(4)
Emergent Technologies and Future Issues	156	(3)
Technology and Ethics	159	(2)
Technology and the Role of the Health
Care Administrator	161	(1)
Summary	162	(1)
Cases for Your Consideration	162	(8)
Web Resources	170	(1)
References	170	(3)
Section III Organizational Influences on Ethics	173	(94)
Introduction	173	(2)
Chapter 9 No Mission No Margin: Fiscal Responsibility	175	(20)
Points to Ponder	175	(1)
Words to Remember	175	(1)
Show Me the Money	176	(2)
Margin versus Mission: A Delicate Balance	178	(7)
Summary	185	(1)
Cases for Your Consideration	186	(6)
Web Resources	192	(1)
References	193	(2)
Chapter 10 Organization Culture and Ethics	195	(20)
Points to Ponder	195	(1)
Words to Remember	195	(1)
Culture: A Macro and Micro View	196	(4)
The Health Care Culture Responds: Ethics Committees	200	(3)
Assisting the Process: Choosing a Decision-Making Model	203	(2)
Summary	205	(1)
Cases for Your Consideration	205	(8)
Web Resources	213	(1)
References	214	(1)
Chapter 11 Corporate Compliance: The Letter or the Spirit of the Law	215	(26)
Points to Ponder	215	(1)
Words to Remember	215	(1)
Introduction	216	(1)
A Historical View	216	(13)
Ethics of Quality Programs	229	(2)
Summary	231	(1)
Cases for Your Consideration	232	(6)
Web Resources	238	(1)
References	238	(3)
Chapter 12 Patient Issues and Ethics	241	(26)
Points to Ponder	241	(1)
Words to Remember	241	(1)
Paternalism, or "We Know What's Best"	242	(2)
The Patient Health Care Experience	244	(3)
Measuring the Patient Experience	247	(2)
How Does Measurement Relate to Ethics?	249	(1)
Providing Care through a Different Vision: Patient-Centered Care and Ethics	250	(5)
Summary	255	(1)
Cases for Your Consideration	256	(8)
Web Resource	264	(1)
References	265	(2)
Section IV The Inner Circle of Ethics	267	(72)
Introduction	267	(2)
Chapter 13 Moral Integrity	269	(24)
Points to Ponder	269	(1)
Words to Remember	269	(1)
Definitions of Morality	269	(2)
What Do the Experts Say about Morality?	271	(8)
Maintaining Your Moral Integrity	279	(2)
Summary	281	(1)
10 Challenges for Maintaining Moral Integrity	281	(11)
Web Resources	292	(1)
References	292	(1)
Chapter 14 Codes of Ethics and Administrative Practice	293	(18)
Points to Ponder	293	(1)
Words to Remember	293	(1)
Introduction to Codes of Ethics for Professionals	294	(1)
Why Bother with Codes of Ethics?	294	(3)
Code of Ethics for the American College of Healthcare Executives	297	(2)
Learning from Other Codes	299	(7)
Limitations and Criticisms of Codes	306	(1)
Summary	307	(1)
Five Challenges for Living in Code	307	(2)
Web Resources	309	(1)
References	309	(2)
Chapter 15 Practicing as an Ethical Administrator	311	(20)
Points to Ponder	311	(1)
Words to Remember	311	(1)
Introduction	312	(1)
Wisdom from the Masters: Ethics in Practice	312	(6)
Key Processes of Health Care Administration and Ethics	318	(8)
Voices from the Field	326	(1)
Summary	327	(1)
Challenges	328	(1)
Web Resources	329	(1)
References	329	(2)
Chapter 16 Where Do We Go from Here?	331	(8)
Points to Ponder	331	(1)
Words to Remember	331	(1)
Summary of Previous Chapters	331	(3)
The Future, or Who Hid the Crystal Ball?	334	(4)
Final Summary	338	(1)
Web Resources	338	(1)
References	338	(1)
References	339	(6)
Index	345