Ethics in Health Services and Policy : A Global Approach

by Harris, Dean M.

• ISBN13: 9780470531068
• ISBN10: 0470531061
• Edition: 1st
• Format: Paperback
• Copyright: 2011-04-19
• Publisher: Jossey-Bass

Summary

With this book nursing and health administration students can increase their understanding of the myriad global ethical issues. The book examines key issues of health services delivery (insurance, rationing of care, allocation of resources, and cost-containment) and the health care industry (corruption, kickbacks, and conflicts of interest) in both developing and developed countries. The book also considers cross-border issues that arise from the movement of patients and providers across national boundaries, such as treatment of undocumented aliens, medical tourism, and the "brain drain" of health care personnel from developing countries.

Author Biography

Dean M. Harris, JD, is a clinical associate professor in the Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, and adjunct associate professor in the UNC School of Law. In addition, he serves as adjunct professor in the Health Economics and Management Institute (HEMI) in the Guanghua School of Management at Peking University. Companion web site: www.josseybass.com/go/deanharris

Table of Contents

Introduction

Acknowledgments

The Author

Ethical Theories and Bioethics in a Global Perspective

Theories of Ethics

Are Theories of Ethics Global?

Can Theories of Ethics Encourage People to Do the Right Thing?

Autonomy and Informed Consent in Global Perspective

Ethical Principles and Practical Issues of Informed Consent

Does Informed Consent Really Matter to Patients?

Is Informed Consent a Universal Principle or a Cultural Value?

Withholding or Withdrawing Treatment and PhysicianâÇôAssisted Suicide

Withholding or Withdrawing Treatment at the End of Life

Assisting Patients in Committing Suicide

Ethical Issues in Reproductive Health

Ethics of Abortion in Different Times, Places, and Cultures

Current Ethical Issues in Abortion

Assisted Reproductive Technology and Stem Cell Research

Emergency Contraception

Ethics of Imposing Conditions on Funding

Ethical Issues of Female Genital Mutilation

The Facts About FGM

FGM as a Challenge to Ethical Relativism

Ethics of FGM for Adult Women

Ethical Issues of Research with Human Subjects

Background Information and the Belmont Report

Autonomy and Voluntary Informed Consent

Beneficence and CostâÇôBenefit Analysis

Issues of Justice and Fairness for Human Subjects

The Right to Health Care, and Ethical Obligations to Provide Care

Is There an Ethical Right to Health Care?

Ethical Obligations of Health Care Professionals

Ethical Obligations of forâÇôProfit Health Care Providers

Ethical Issues in Rationing and Allocation of Limited Resources

Levels of Allocating Resources

Methods of Rationing Health Resources

Comparative Effectiveness Research and CostâÇôEffectiveness Analysis

Ethical Issues of Health Insurance and Health System Reform

Ethical Issues in Financing Health Services and Designing Insurance Systems

Fundamental Values of Health Systems

Ethical Issues in the Movement of Patients Across National Borders

Ethical Duties to Provide Health Care to Undocumented Aliens

Ethical Issues in Medical Tourism

Ethical Issues in the Movement of Health Care Professionals Across National Borders

Ethical Issues in the Migration of Health Professionals

Proposed Solutions and Their Ethical Implications

Fair Treatment of Health Care Workers from Other Countries

Corruption and Informal Payments in Health Systems

Payment of Informal Fees by Patients and Their Families

Is Corruption Bad for Your (and Other PeopleâDzs) Health?

References

Index

Table of Contents provided by Publisher. All Rights Reserved.