Organization Ethics in Health Care

by Spencer, Edward M.; Mills, Ann E.; Rorty, Mary V.; Werhane, Patricia H.

• ISBN13: 9780195129809
• ISBN10: 0195129806
• Format: Hardcover
• Copyright: 2000-01-06
• Publisher: Oxford University Press

Summary

The ethical aspects of the operation of healthcare organizations (HCOs) are central to the delivery of health care. Organization Ethics in Health Care begins by assessing the shortcomings of clinical ethics, business ethics, and professional ethics as a basis for solving problems that haveemerged in healthcare delivery systems since the advent of managed care. The text focuses on the meaning of the developent of the HCO in our society and what its present status is. The authors point out that moral parameters endorsed by society have guided previous shifts in the relationships amongimportant HCO stakeholders, but that these parameters have been unclear or missing altogether during the past tumultous decade. Finally, they describe the key elements for the successful implementation of a fully functioning healthcare organization ethics program and what it can mean to theinstitution, its associated clinicians and employees, its patients, and its community. Moving from theory to practical application, this book will serve as an excellent student text, a professional guide, and a reference work.

Table of Contents

The Background for Organization Ethics	3	(12)
A Philosophical Basis for Organization Ethics	15	(16)
Clinical Ethics and Organization Ethics	31	(18)
Business Ethics and Organization Ethics	49	(20)
Professional Ethics in Healthcare Organizations	69	(23)
The Relationship of Social Climate to the Historical Development of the Healthcare Organization and its Ethical Climate	92	(26)
The Ethical Climate in Today's Healthcare Organization	118	(18)
Developing a Positive Ethical Climate in the Healthcare Organization	136	(15)
Instituting an Organization Ethics Program	151	(20)
Compliance, Risk-Management, and Quality-Improvement Programs	171	(15)
Organization Ethics Activities and Their Evaluation	186	(14)
Conclusion	200	(11)
Appendix 1. Virginia Bioethics Network Recommendations for Guidelines on Procedures and Processes to Address Organization Ethics in Health Care Organizations	211	(5)
Appendix 2. Towards a Pragmatic Method for Assessing Moral Problems	216	(2)
Appendix 3. A Decision Process: A Framework for Moral Reasoning	218	(1)
Appendix 4. Codes of Ethics	219	(6)
Appendix 5. The Rise, Fall, and Reemergence of the Nursing Home: Important Lessons to be Learned	225	(4)
References	229	(8)
Index	237