Organizational Ethics in Health Care: Principles, Cases, and Practical Solutions

ISBN-13: 9780787955588 / Angielski / Twarda / 2001 / 448 str.

Philip J. Boyle; Edwin R. Dubose; Stephen J. Ellingson

Opis

This comprehensive and much-needed resource helps health care ethicists to meet the demand of challenges such as managed care, medical technology, and patient activism. Through a review of core principles and a rich selection of cases, practitioners and students will learn to apply ethics in the day-to-day administration of health care organizations. The authors are from the Park Ridge Center, the nationally acclaimed consulting and research firm.

Recenzje

"This book is one of the most effective handbooks on health–care OE." ( The National Catholic Bioethics Quarterly, Summer 2004)

"...has won the James A. Hamilton book of the year award, sponsored by the American College of Healthcare Executives." (AHA News, 3/02)

"The index is thorough, and tables and checklists enhance the text." (E–Streams, 3/02)

Spis treści

Foreword xiii
Laurence J. O′Connell

Preface xv

Acknowledgments xix

The Authors xxi

Part One

1 The Moral Ecology of Health Care Organizations 3

2 Organizational Theory, Culture, and Psychology: Tools for Organizational Ethics 29

3 Organizational Support for Ethical Behavior 52

4 Corporate Compliance and Integrity Programs: The Uneasy Alliance Between Law and Ethics 97

5 Managing Human Resources 112

6 Conflicts of Interest 146

7 Discretion and Control 178

8 Evaluating the Moral Life of an Organization: The Case of Resource Allocation Policies 204

9 Resource Allocation and Utilization: Structural Issues 221

10 Mission and the Bottom Line 247

Part Two: Cases

1 The Waiting Room 277

2 Nursing Strikes 279

3 A Gift, or an Obligation? 283

4 Obligations for Adequate Health Care Coverage 288

5 A Manager s Dilemma in Hiring 292

6 Conflict of Interest, or Just a Great Lunch? 296

7 Organizations and Spousal Equivalent Benefits 299

8 Organizational Teflon: Making Sure the Case Doesn t Stick 303

9 Investment Policy 306

10 Compassionate Sedation, or Euthanasia? Compassionate Communication, or Deceit? 309

11 Ethical Considerations in Charting 315

12 Executive Use of Discretionary Funds: The Bonus Pool 317

13 Integrating Spirituality in the Health Care Setting 320

14 Alternative and Complementary Medicine 323

15 Overstepping the Bounds of Expertise 326

16 Marketing Products and Practicing Medicine 329

17 Following the Rules, or Using Them as a Smokescreen? 333

18 Organizational Advancement and Corporate Compliance 337

19 The Compliance Officer and the Ethics Committee 341

20 Aggressive Accounting 344

Part Three: Appendixes

Appendix One: Joint Commission on Accreditation of Healthcare Organizations 349

Appendix Two: Sample Ethics Statements 361

Appendix Three: American College of Healthcare Executives: Code of Ethics 377

Appendix Four: Partnership Health Care: Conflict of Interest Policy 387

Recommended Reading 393

Index 401

O autorze

PHILIP J. BOYLE is chief operating officer at The Park Ridge Center for the Study of Health, Faith, and Ethics.

EDWIN R. DUBOSE is research associate at The Park Ridge Center for the Study of Health, Faith, and Ethics in Chicago, Illinois.

STEPHEN J. ELLINGSON is a post–doctoral fellow in sociology, religion, and health care and director of the Lilly Program for Congregational Ministry at Pacific Lutheran Theological Seminary.

DAVID E. GUINN is research associate and editor at The Park Ridge Center for the Study of Health, Faith, and Ethics.

DAVID B. MCCURDY is research associate and director of consultation and education services at The Park Ridge Center for the Study of Health, Faith, and Ethics.

Blurb

How can the leaders of health care organizations safeguard their institutions′ moral integrity and also respond to the overwhelming and immediate demands of day–to–day operations? Written by a team of experts from The Park Ridge Center for the Study of Health, Faith, and Ethics, this essential and practical resource offers health care leaders a basic guide for achieving consistently high levels of ethical practice within their organizations. In addition, this book offers the vital information needed for health care administrators and managers who must implement the ethical practices necessary for their institutions to comply with JCAHO requirements. Organizational Ethics in Health Care:

• Outlines many methods for promoting ethical behavior
• Explains how to analyze organizational function
• Examines conflicts of interest
• Shows how policy development and implementation reflects the moral nature of organizations
• Clarifies the complex relationship between law and ethics
• Reviews the role of compliance in organizational ethics

Addressing ethical dilemmas that concern health care organizations from the boardroom to the mailroom, this comprehensive resource is filled with illustrative case studies that show the application of ethics in a wide variety of circumstances and institutions. The Authors Philip J. Boyle is chief operating officer at The Park Ridge Center for the Study of Health, Faith, and Ethics. Edwin R. DuBose is research associate at The Park Ridge Center for the Study of Health, Faith, and Ethics in Chicago, Illinois. Stephen J. Ellingson is a post–doctoral fellow in sociology, religion, and health care and director of the Lilly Program for Congregational Ministry at Pacific Lutheran Theological Seminary. David E. Guinn is research associate and editor at The Park Ridge Center for the Study of Health, Faith, and Ethics. Rev. David B. McCurdy is research associate and director of consultation and education services at The Park Ridge Center for the Study of Health, Faith, and Ethics.