Ethics in Health Administration: A Practical Approach for Decision Makers

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ISBN: 9780763773274 | 0763773271
Cover: Paperback
Copyright: 10/1/2009

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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.

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
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Ethics in Health Administration: A Practical Approach for Decision Makers

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