Ethics in Health Administration: A Practical Approach for Decision Makers
Ethics in Health Administration 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 administrators’ 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...
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This text for undergraduate and graduate students applies the principles of ethics to issues commonly encountered in health care administration. Sixteen chapters cover such topics as market forces, new technologies, organizational culture, corporate compliance, moral integrity, and professional codes of ethics. Each chapter contains two fictional cases (based on real events) to facilitate class discussion. Morrison (health administration, Texas State U.) concludes by highlighting some emerging issues in the field. Annotation ©2005 Book News, Inc., Portland, OR
Preface to the Second Edition xiAcknowledgements xiiiContributors xvSection I Foundations for Ethics 1Introduction 1Chapter 1 Practical Theory 5Points to Ponder 5Words to Remember 5Introduction 5Why Study Ethics Theory? 6St. Thomas Aquinas (1225-1274) 7Immanuel Kant (1724-1804) 8John Stuart Mill (1806-1873) 10John Rawls (1921-2002) 12Personal Ethics Theorists 14Aristotle (384-322 BCE) 15Martin Buber (1878-1965) 16Lawrence Kohlberg (1927-1987) 18Viktor Frankl (1905-1997) 21What Is Ethics? 22Summary 24Web Resources 24References 25Chapter 2 Autonomy 27Points to Ponder 27Words to Remember 27Introduction and Definitions 27Autonomy as Informed Consent 28Autonomy as Confidentiality 31Autonomy as Truth-Telling 33Autonomy as Fidelity 35Summary 38Cases for Your Consideration 38Web Resources 45References 45Chapter 3 Nonmaleficence and Beneficence 47Points to Ponder 47Words to Remember 47Introduction and Definitions 47Nonmaleficence in Healthcare Settings 48Beneficence in Healthcare Settings 52Summary 55Cases for Your Consideration 55Web Resources 64References 64Chapter 4 Justice 65Points to Ponder 65Words to Remember 65Introduction and Definitions 65Justice for Patients 66Distributive Justice 67Staff Justice 71Summary 74Cases for Your Consideration 75Web Resource 79References 79Section II External Influences on Ethics 81Introduction 81Chapter 5 Quis Custodiet Ispos Custodes? Who Will Guard the Guardians? 85Points to Ponder 85Words to Remember 85The Age of Accountability 86The Ethics of Advocacy 93The Ethics ofStaff Competency 95Summary 103Cases for Your Consideration 103Web Resources 110References 110Chapter 6 Market Forces and Ethics 113Points to Ponder 113Words to Remember 113Introduction and Definitions 113General Market Forces 114Managed Care and Ethics 116Integrated Medicine (IM) and Ethics 125Summary 129Cases for Your Consideration 129Web Resources 134References 135Chapter 7 Social Responsibility and Ethics 137Points to Ponder 137Words to Remember 137What Is Social Responsibility in the Healthcare Business? 138Prevention as Social Responsibility 140Quality Assurance as Social Responsibility 145Summary 147Cases for Your Consideration 147Web Resources 154References 154Chapter 8 Technology and Ethics 155Points to Ponder 155Words to Remember 155Technology and Its Impact on Health Care 156Emergent Technologies and Future Issues 161Technology and Ethics 164Technology and the Role of the Healthcare Administrator 167Summary 167Cases for Your Consideration 168Web Resources 174References 175Section III Organizational Influences on Ethics 177Introduction 177Chapter 9 No Mission No Margin: Fiscal Responsibility 179Points to Ponder 179Words to Remember 179Show Me the Money 180Margin versus Mission: A Delicate Balance 182Summary 190Cases for Your Consideration 191Web Resources 197References 197Chapter 10 Organization Culture and Ethics 199Points to Ponder 199Words to Remember 199Culture: A Macro and Micro View 200The Healthcare Culture Responds: Ethics Committees 204Assisting the Process: Choosing a Decision-Making Model 207Summary 209Cases for Your Consideration 210Web Resources 218References 218Chapter 11 The Ethics of Quality 221Points to Ponder 221Words to Remember 221Introduction to the Ethics of Quality 221A Historical View 222Through the Organization's Eyes 224Going Beyond Compliance: Efforts in Quality 225Ethics of Quality Programs 230Summary 232Cases for Your Consideration 232Web Resources 239References 239Chapter 12 Patient Issues and Ethics 241Points to Ponder 241Words to Remember 241Paternalism, or "We Know What's Best" 241The Patient Healthcare Experience 244Measuring the Patient Experience 247How Does Measurement Relate to Ethics? 249Providing Care Through a Different Vision: Patient-Centered Care and Ethics 250Summary 255Cases for Your Consideration 256Web Resource 265References 265Section IV The Inner Circle of Ethics 267Introduction 267Chapter 13 Moral Integrity 269Points to Ponder 269Words to Remember 269Definitions of Morality 269What Do the Experts Say About Morality? 271Maintaining Your Moral Integrity 278Summary 280Ten Challenges for Maintaining Moral Integrity 280Web Resources 291References 291Chapter 14 Codes of Ethics and Administrative Practice 293Points to Ponder 293Words to Remember 293Introduction to Codes of Ethics for Professionals 293Why Bother with Codes of Ethics? 294Code of Ethics for the American College of Healthcare Executives 297Learning from Other Codes 299Limitations and Criticisms of Codes 306Summary 307Five Challenges for Living in Code 308Web Resources 310References 310Chapter 15 Practicing as an Ethical Administrator 311Points to Ponder 311Words to Remember 311Introduction 311Key Processes of Healthcare Administration and Ethics 312Wisdom from the Masters: Ethics in Practice 321Voices from the Healthcare Field 325Summary 328Challenges 328Web Resources 330References 330Chapter 16 Where Do We Go From Here? 331Points to Ponder 331Words to Remember 331Summary of Previous Chapters 331The Future, or Who Hid the Crystal Ball? 334Final Summary 339Web Resources 339References 339References 341Index 349
