Ethics in Health Administration: A Practical Approach for Decision Makers
by Morrison, Eileen E.Edition: 2nd
Format: Paperback
Pub. Date: 2009-10-01
Publisher(s): Jones & Bartlett
Other versions by this Author
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Summary
Given the many new advances in technology, the changing economy, and a renewed national discussion around universal health care, today's healthcare administrators require a strong foundation in practice-based ethics to confront the challenges of the current healthcare landscape.
Table of Contents
| Preface to the Second Edition | p. xi |
| Acknowledgements | p. xiii |
| Contributors | p. xv |
| Foundations for Ethics | p. 1 |
| Introduction | p. 1 |
| Practical Theory | p. 5 |
| Points to Ponder | p. 5 |
| Words to Remember | p. 5 |
| Introduction | p. 5 |
| Why Study Ethics Theory? | p. 6 |
| St. Thomas Aquinas (1225-1274) | p. 7 |
| Immanuel Kant (1724-1804) | p. 8 |
| John Stuart Mill (1806-1873) | p. 10 |
| John Rawls (1921-2002) | p. 12 |
| Personal Ethics Theorists | p. 14 |
| Aristotle (384-322 BCE) | p. 15 |
| Martin Buber (1878-1965) | p. 16 |
| Lawrence Kohlberg (1927-1987) | p. 18 |
| Viktor Frankl (1905-1997) | p. 21 |
| What Is Ethics? | p. 22 |
| Summary | p. 24 |
| Web Resources | p. 24 |
| References | p. 25 |
| Autonomy | p. 27 |
| Points to Ponder | p. 27 |
| Words to Remember | p. 27 |
| Introduction and Definitions | p. 27 |
| Autonomy as Informed Consent | p. 28 |
| Autonomy as Confidentiality | p. 31 |
| Autonomy as Truth-Telling | p. 33 |
| Autonomy as Fidelity | p. 35 |
| Summary | p. 38 |
| Cases for Your Consideration | p. 38 |
| Web Resources | p. 45 |
| References | p. 45 |
| Nonmaleficence and Beneficence | p. 47 |
| Points to Ponder | p. 47 |
| Words to Remember | p. 47 |
| Introduction and Definitions | p. 47 |
| Nonmaleficence in Healthcare Settings | p. 48 |
| Beneficence in Healthcare Settings | p. 52 |
| Summary | p. 55 |
| Cases for Your Consideration | p. 55 |
| Web Resources | p. 64 |
| References | p. 64 |
| Justice | p. 65 |
| Points to Ponder | p. 65 |
| Words to Remember | p. 65 |
| Introduction and Definitions | p. 65 |
| Justice for Patients | p. 66 |
| Distributive Justice | p. 67 |
| Staff Justice | p. 71 |
| Summary | p. 74 |
| Cases for Your Consideration | p. 75 |
| Web Resource | p. 79 |
| References | p. 79 |
| External Influences on Ethics | p. 81 |
| Introduction | p. 81 |
| Quis Custodiet Ispos Custodes? Who Will Guard the Guardians? | p. 85 |
| Points to Ponder | p. 85 |
| Words to Remember | p. 85 |
| The Age of Accountability | p. 86 |
| The Ethics of Advocacy | p. 93 |
| The Ethics of Staff Competency | p. 95 |
| Summary | p. 103 |
| Cases for Your Consideration | p. 103 |
| Web Resources | p. 110 |
| References | p. 110 |
| Market Forces and Ethics | p. 113 |
| Points to Ponder | p. 113 |
| Words to Remember | p. 113 |
| Introduction and Definitions | p. 113 |
| General Market Forces | p. 114 |
| Managed Care and Ethics | p. 116 |
| Integrated Medicine (IM) and Ethics | p. 125 |
| Summary | p. 129 |
| Cases for Your Consideration | p. 129 |
| Web Resources | p. 134 |
| References | p. 135 |
| Social Responsibility and Ethics | p. 137 |
| Points to Ponder | p. 137 |
| Words to Remember | p. 137 |
| What Is Social Responsibility in the Healthcare Business? | p. 138 |
| Prevention as Social Responsibility | p. 140 |
| Quality Assurance as Social Responsibility | p. 145 |
| Summary | p. 147 |
| Cases for Your Consideration | p. 147 |
| Web Resources | p. 154 |
| References | p. 154 |
| Technology and Ethics | p. 155 |
| Points to Ponder | p. 155 |
| Words to Remember | p. 155 |
| Technology and Its Impact on Health Care | p. 156 |
| Emergent Technologies and Future Issues | p. 161 |
| Technology and Ethics | p. 164 |
| Technology and the Role of the Healthcare Administrator | p. 167 |
| Summary | p. 167 |
| Cases for Your Consideration | p. 168 |
| Web Resources | p. 174 |
| References | p. 175 |
| Organizational Influences on Ethics | p. 177 |
| Introduction | p. 177 |
| No Mission No Margin: Fiscal Responsibility | p. 179 |
| Points to Ponder | p. 179 |
| Words to Remember | p. 179 |
| Show Me the Money | p. 180 |
| Margin versus Mission: A Delicate Balance | p. 182 |
| Summary | p. 190 |
| Cases for Your Consideration | p. 191 |
| Web Resources | p. 197 |
| References | p. 197 |
| Organization Culture and Ethics | p. 199 |
| Points to Ponder | p. 199 |
| Words to Remember | p. 199 |
| Culture: A Macro and Micro View | p. 200 |
| The Healthcare Culture Responds: Ethics Committees | p. 204 |
| Assisting the Process: Choosing a Decision-Making Model | p. 207 |
| Summary | p. 209 |
| Cases for Your Consideration | p. 210 |
| Web Resources | p. 218 |
| References | p. 218 |
| The Ethics of Quality | p. 221 |
| Points to Ponder | p. 221 |
| Words to Remember | p. 221 |
| Introduction to the Ethics of Quality | p. 221 |
| A Historical View | p. 222 |
| Through the Organization's Eyes | p. 224 |
| Going Beyond Compliance: Efforts in Quality | p. 225 |
| Ethics of Quality Programs | p. 230 |
| Summary | p. 232 |
| Cases for Your Consideration | p. 232 |
| Web Resources | p. 239 |
| References | p. 239 |
| Patient Issues and Ethics | p. 241 |
| Points to Ponder | p. 241 |
| Words to Remember | p. 241 |
| Paternalism, or "We Know What's Best" | p. 241 |
| The Patient Healthcare Experience | p. 244 |
| Measuring the Patient Experience | p. 247 |
| How Does Measurement Relate to Ethics? | p. 249 |
| Providing Care Through a Different Vision: Patient-Centered Care and Ethics | p. 250 |
| Summary | p. 255 |
| Cases for Your Consideration | p. 256 |
| Web Resource | p. 265 |
| References | p. 265 |
| The Inner Circle of Ethics | p. 267 |
| Introduction | p. 267 |
| Moral Integrity | p. 269 |
| Points to Ponder | p. 269 |
| Words to Remember | p. 269 |
| Definitions of Morality | p. 269 |
| What Do the Experts Say About Morality? | p. 271 |
| Maintaining Your Moral Integrity | p. 278 |
| Summary | p. 280 |
| Ten Challenges for Maintaining Moral Integrity | p. 280 |
| Web Resources | p. 291 |
| References | p. 291 |
| Codes of Ethics and Administrative Practice | p. 293 |
| Points to Ponder | p. 293 |
| Words to Remember | p. 293 |
| Introduction to Codes of Ethics for Professionals | p. 293 |
| Why Bother with Codes of Ethics? | p. 294 |
| Code of Ethics for the American College of Healthcare Executives | p. 297 |
| Learning from Other Codes | p. 299 |
| Limitations and Criticisms of Codes | p. 306 |
| Summary | p. 307 |
| Five Challenges for Living in Code | p. 308 |
| Web Resources | p. 310 |
| References | p. 310 |
| Practicing as an Ethical Administrator | p. 311 |
| Points to Ponder | p. 311 |
| Words to Remember | p. 311 |
| Introduction | p. 311 |
| Key Processes of Healthcare Administration and Ethics | p. 312 |
| Wisdom from the Masters: Ethics in Practice | p. 321 |
| Voices from the Healthcare Field | p. 325 |
| Summary | p. 328 |
| Challenges | p. 328 |
| Web Resources | p. 330 |
| References | p. 330 |
| Where Do We Go From Here? | p. 331 |
| Points to Ponder | p. 331 |
| Words to Remember | p. 331 |
| Summary of Previous Chapters | p. 331 |
| The Future, or Who Hid the Crystal Ball? | p. 334 |
| Final Summary | p. 339 |
| Web Resources | p. 339 |
| References | p. 339 |
| References | p. 341 |
| Index | p. 349 |
| Table of Contents provided by Ingram. All Rights Reserved. |
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