The Moral Challenges of Health Care Management

by Griffith, John R.

• ISBN13: 9780910701938
• ISBN10: 0910701938
• Format: Hardcover
• Copyright: 1992-12-01
• Publisher: Health Administration Pr

Table of Contents

Foreword
Preface
Acknowledgments
Suggested Readings
Introduction
Ethical Commitments of Health Care Managers	p. 3
Humanity as an End	p. 3
About This Book	p. 6
Appendix I.A: American College of Healthcare Executives
Code of Ethics	p. 11
Ethical Policy Statement: Impaired Healthcare Executives	p. 16
Appendix I.B: American Hospital Association
Ethical Conduct for Health Care Institutions	p. 18
Theories of Moral Obligation
Abortion Policy at XYZ Community Hospital	p. 25
Baby Doe: Care of Severely Damaged Neonates	p. 29
Part II Commentary: The Diversity of Theories of Moral Obligation and the Implications for Health Care Management	p. 39
What Theories of Moral Obligation Are and How They Differ	p. 40
The nature of theories of moral obligation	p. 40
The types of theories of moral obligation	p. 41
Act versus rule applications	p. 42
The origins of theories of moral obligation	p. 42
Application of Theories of Moral Obligation	p. 43
Dealing with Conflict in Theories of Moral Obligation	p. 46
Consequences of unresolved conflict	p. 46
Some actions to avoid	p. 46
Options for the health care executive	p. 47
Conflicting Prima Facie Obligations
Providing References	p. 53
The Doctor, the Patient, and the DRG	p. 57
Terminating the Employment Contract - The Abortion Case, Part Two	p. 61
The End of Life: Assisting Families and Clinical Personnel with Terminal Care	p. 63
Tough Transplant Questions Raised by Baby Jesse Case	p. 67
Part III Commentary: Dealing with Conflicting Moral Obligations - Negotiating the Slippery Slope	p. 73
How Conflicting Obligations Arise	p. 73
Relationship between Prima Facie Conflicts and Nonmoral Management	p. 74
How Good Nonmoral Management Contributes to Solving the Cases	p. 75
Reference letters (Case 3)	p. 75
DRG management (Case 4)	p. 76
The moral grounds for resignation and termination (Case 5)	p. 77
Terminal care (Case 6)	p. 78
Transplants (Case 7)	p. 82
A Theory for Dealing with Prima Facie Conflicts	p. 83
Required assumptions about moral obligations	p. 83
Guiding the organization's prima facie selections	p. 84
Applying the rules for managing conflicting obligations to clinical areas	p. 88
Improving Virtue
The Question of Venial Sins	p. 93
Dr. Burt of St. Elizabeth's	p. 95
Commodore Quinn and Captain Hodges	p. 103
John McCabe and Blue Cross and Blue Shield of Michigan	p. 111
Part IV Commentary: Building the Virtuous Health Care Corporation	p. 125
The Concept of Moral Virtue	p. 125
Can Nonmoral Actions Promote Moral Virtue? A Review of the Cases	p. 126
Why Lead a Moral Life? The Personal Promotion of Moral Virtue	p. 130
When Is Command Moral?	p. 132
The moral justification for authority	p. 133
The moral obligation of authority	p. 134
Is Punishment Wise? The Uses of Blame and Retribution in Management	p. 134
Can a Manager Be a Moral Leader?	p. 135
Promoting moral virtue by example	p. 136
Nonmoral actions that promote moral behavior	p. 136
Part IV Epilogue: Follow-up on the bases	p. 141
St. Elizabeth's	p. 141
Commodore Quinn and Captain Hodges	p. 141
Blue Cross and Blue Shield of Michigan	p. 145
About the Author	p. 153
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