Ethics in Health Administration: A Practical Approach for Decision Makers

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ISBN: 9780763726522 | 0763726524
Cover: Paperback
Copyright: 9/21/2005

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Second Edition available in October! Useful to both graduate and undergraduate learners, Ethics in Health Administration: A Practical Approach for Decision Makers 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 administratorsrs" 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 for class discussion, As well as references and websites.

Gratitudes

Contributors

xiii

Section I Foundations for Ethics

(78)

Introduction

(3)

Reference

(1)

Chapter 1 Practical Theory

(20)

Points to Ponder

(1)

Words to Remember

(1)

Introduction

(1)

Why Study Ethics Theory?

(1)

St. Thomas Aquinas (1225-1274)

(1)

Immanuel Kant (1724-1804)

(2)

John Stuart Mill (1806-1873)

(2)

John Rawls (1921-2002)

(2)

Personal Ethics Theorists

(1)

Martin Buber (1878-1965)

(2)

Lawrence Kohlberg (1927-1987)

(3)

Viktor Frankl (1905-1997)

(1)

What Is Ethics?

(2)

Summary

(1)

Web Resources

(1)

References

(3)

Chapter 2 Autonomy

(20)

Points to Ponder

(1)

Words to Remember

(1)

Introductions and Definitions

(1)

Autonomy as Informed Consent

(3)

Autonomy as Confidentiality

(2)

Autonomy as Truth-Telling

(2)

Autonomy as Fidelity

(2)

Summary

(1)

Cases for Your Consideration

(7)

Web Resources

(1)

References

(2)

Chapter 3 Nonmaleficence and Beneficence

(18)

Points to Ponder

(1)

Words to Remember

(1)

Introduction and Definitions

(1)

Nonmaleficence in Health Care Settings

(4)

Beneficence in Health Care Settings

(3)

Summary

(1)

Cases for Your Consideration

(9)

Web Resources

(1)

References

(1)

Chapter 4 Justice

(16)

Points to Ponder

(1)

Words to Remember

(1)

Introduction and Definitions

(1)

Justice for Patients

(1)

Distributive Justice

(4)

Staff Justice

(3)

Summary

(1)

Cases for Your Consideration

(4)

Web Resource

(1)

References

(2)

Section II External Influences on Ethics

(94)

Introduction

(4)

Chapter 5 Quis Custodiet Ispos Custodes? Who Will Guard the Guardians?

(28)

Points to Ponder

(1)

Words to Remember

(1)

The Age of Accountability

(7)

The Ethics of Advocacy

(2)

The Ethics of Staff Competency

(8)

Summary

101

(1)

Cases for Your Consideration

101

(7)

Web Resources

108

(1)

References

108

(3)

Chapter 6 Market Forces and Ethics

111

(22)

Points to Ponder

111

(1)

Words to Remember

111

(1)

Introduction and Definitions of Market Forces

112

(1)

General Market Forces

112

(2)

Managed Care and Ethics

114

(4)

Where Is the Ethics?

118

(4)

Integrated Medicine (IM) and Ethics

122

(4)

Summary

126

(1)

Cases for Your Consideration

127

(5)

Web Resources

132

(1)

References

132

(1)

Chapter 7 Social Responsibility and Ethics

133

(18)

Points to Ponder

133

(1)

Words to Remember

133

(1)

What Is Social Responsibility in the Health Care Business?

134

(2)

Prevention as Social Responsibility

136

(4)

Quality Assurance as Social Responsibility

140

(2)

Summary

142

(1)

Cases for Your Consideration

142

(7)

Web Resources

149

(1)

References

149

(2)

Chapter 8 Technology and Ethics

151

(22)

Points to Ponder

151

(1)

Words to Remember

151

(1)

Technology and Its Impact on Health Care

152

(4)

Emergent Technologies and Future Issues

156

(3)

Technology and Ethics

159

(2)

Technology and the Role of the Health

Care Administrator

161

(1)

Summary

162

(1)

Cases for Your Consideration

162

(8)

Web Resources

170

(1)

References

170

(3)

Section III Organizational Influences on Ethics

173

(94)

Introduction

173

(2)

Chapter 9 No Mission No Margin: Fiscal Responsibility

175

(20)

Points to Ponder

175

(1)

Words to Remember

175

(1)

Show Me the Money

176

(2)

Margin versus Mission: A Delicate Balance

178

(7)

Summary

185

(1)

Cases for Your Consideration

186

(6)

Web Resources

192

(1)

References

193

(2)

Chapter 10 Organization Culture and Ethics

195

(20)

Points to Ponder

195

(1)

Words to Remember

195

(1)

Culture: A Macro and Micro View

196

(4)

The Health Care Culture Responds: Ethics Committees

200

(3)

Assisting the Process: Choosing a Decision-Making Model

203

(2)

Summary

205

(1)

Cases for Your Consideration

205

(8)

Web Resources

213

(1)

References

214

(1)

Chapter 11 Corporate Compliance: The Letter or the Spirit of the Law

215

(26)

Points to Ponder

215

(1)

Words to Remember

215

(1)

Introduction

216

(1)

A Historical View

216

(13)

Ethics of Quality Programs

229

(2)

Summary

231

(1)

Cases for Your Consideration

232

(6)

Web Resources

238

(1)

References

238

(3)

Chapter 12 Patient Issues and Ethics

241

(26)

Points to Ponder

241

(1)

Words to Remember

241

(1)

Paternalism, or "We Know What's Best"

242

(2)

The Patient Health Care Experience

244

(3)

Measuring the Patient Experience

247

(2)

How Does Measurement Relate to Ethics?

249

(1)

Providing Care through a Different Vision: Patient-Centered Care and Ethics

250

(5)

Summary

255

(1)

Cases for Your Consideration

256

(8)

Web Resource

264

(1)

References

265

(2)

Section IV The Inner Circle of Ethics

267

(72)

Introduction

267

(2)

Chapter 13 Moral Integrity

269

(24)

Points to Ponder

269

(1)

Words to Remember

269

(1)

Definitions of Morality

269

(2)

What Do the Experts Say about Morality?

271

(8)

Maintaining Your Moral Integrity

279

(2)

Summary

281

(1)

10 Challenges for Maintaining Moral Integrity

281

(11)

Web Resources

292

(1)

References

292

(1)

Chapter 14 Codes of Ethics and Administrative Practice

293

(18)

Points to Ponder

293

(1)

Words to Remember

293

(1)

Introduction to Codes of Ethics for Professionals

294

(1)

Why Bother with Codes of Ethics?

294

(3)

Code of Ethics for the American College of Healthcare Executives

297

(2)

Learning from Other Codes

299

(7)

Limitations and Criticisms of Codes

306

(1)

Summary

307

(1)

Five Challenges for Living in Code

307

(2)

Web Resources

309

(1)

References

309

(2)

Chapter 15 Practicing as an Ethical Administrator

311

(20)

Points to Ponder

311

(1)

Words to Remember

311

(1)

Introduction

312

(1)

Wisdom from the Masters: Ethics in Practice

312

(6)

Key Processes of Health Care Administration and Ethics

318

(8)

Voices from the Field

326

(1)

Summary

327

(1)

Challenges

328

(1)

Web Resources

329

(1)

References

329

(2)

Chapter 16 Where Do We Go from Here?

331

(8)

Points to Ponder

331

(1)

Words to Remember

331

(1)

Summary of Previous Chapters

331

(3)

The Future, or Who Hid the Crystal Ball?

334

(4)

Final Summary

338

(1)

Web Resources

338

(1)

References

338

(1)

References

339

(6)

Index

345

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Ethics in Health Administration: A Practical Approach for Decision Makers

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