Ethics In Health Administration: A Practical Approach For Decision Makers / Edition 2

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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 for class discussion, as well as references and websites.

The Second Edition is a thorough revision that includes urther clarification of terms, new cases, new information on patient-centered care, new information on disaster planning, new material on the culture of compassion, updated instructor resources, and more.

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Product Details

  • ISBN-13: 9780763773274
  • Publisher: Jones & Bartlett Learning
  • Publication date: 10/2/2009
  • Edition description: 2E
  • Edition number: 2
  • Pages: 363
  • Sales rank: 172,943
  • Product dimensions: 5.90 (w) x 8.90 (h) x 0.80 (d)

Table of Contents

Preface to the Second Edition xi

Acknowledgements xiii

Contributors xv

Section I Foundations for Ethics 1

Introduction 1

Chapter 1 Practical Theory 5

Points to Ponder 5

Words to Remember 5

Introduction 5

Why Study Ethics Theory? 6

St. Thomas Aquinas (1225-1274) 7

Immanuel Kant (1724-1804) 8

John Stuart Mill (1806-1873) 10

John Rawls (1921-2002) 12

Personal Ethics Theorists 14

Aristotle (384-322 BCE) 15

Martin Buber (1878-1965) 16

Lawrence Kohlberg (1927-1987) 18

Viktor Frankl (1905-1997) 21

What Is Ethics? 22

Summary 24

Web Resources 24

References 25

Chapter 2 Autonomy 27

Points to Ponder 27

Words to Remember 27

Introduction and Definitions 27

Autonomy as Informed Consent 28

Autonomy as Confidentiality 31

Autonomy as Truth-Telling 33

Autonomy as Fidelity 35

Summary 38

Cases for Your Consideration 38

Web Resources 45

References 45

Chapter 3 Nonmaleficence and Beneficence 47

Points to Ponder 47

Words to Remember 47

Introduction and Definitions 47

Nonmaleficence in Healthcare Settings 48

Beneficence in Healthcare Settings 52

Summary 55

Cases for Your Consideration 55

Web Resources 64

References 64

Chapter 4 Justice 65

Points to Ponder 65

Words to Remember 65

Introduction and Definitions 65

Justice for Patients 66

Distributive Justice 67

Staff Justice 71

Summary 74

Cases for Your Consideration 75

Web Resource 79

References 79

Section II External Influences on Ethics 81

Introduction 81

Chapter 5 Quis Custodiet Ispos Custodes? Who Will Guard the Guardians? 85

Points to Ponder 85

Words to Remember 85

The Age of Accountability 86

The Ethics of Advocacy 93

The Ethics ofStaff Competency 95

Summary 103

Cases for Your Consideration 103

Web Resources 110

References 110

Chapter 6 Market Forces and Ethics 113

Points to Ponder 113

Words to Remember 113

Introduction and Definitions 113

General Market Forces 114

Managed Care and Ethics 116

Integrated Medicine (IM) and Ethics 125

Summary 129

Cases for Your Consideration 129

Web Resources 134

References 135

Chapter 7 Social Responsibility and Ethics 137

Points to Ponder 137

Words to Remember 137

What Is Social Responsibility in the Healthcare Business? 138

Prevention as Social Responsibility 140

Quality Assurance as Social Responsibility 145

Summary 147

Cases for Your Consideration 147

Web Resources 154

References 154

Chapter 8 Technology and Ethics 155

Points to Ponder 155

Words to Remember 155

Technology and Its Impact on Health Care 156

Emergent Technologies and Future Issues 161

Technology and Ethics 164

Technology and the Role of the Healthcare Administrator 167

Summary 167

Cases for Your Consideration 168

Web Resources 174

References 175

Section III Organizational Influences on Ethics 177

Introduction 177

Chapter 9 No Mission No Margin: Fiscal Responsibility 179

Points to Ponder 179

Words to Remember 179

Show Me the Money 180

Margin versus Mission: A Delicate Balance 182

Summary 190

Cases for Your Consideration 191

Web Resources 197

References 197

Chapter 10 Organization Culture and Ethics 199

Points to Ponder 199

Words to Remember 199

Culture: A Macro and Micro View 200

The Healthcare Culture Responds: Ethics Committees 204

Assisting the Process: Choosing a Decision-Making Model 207

Summary 209

Cases for Your Consideration 210

Web Resources 218

References 218

Chapter 11 The Ethics of Quality 221

Points to Ponder 221

Words to Remember 221

Introduction to the Ethics of Quality 221

A Historical View 222

Through the Organization's Eyes 224

Going Beyond Compliance: Efforts in Quality 225

Ethics of Quality Programs 230

Summary 232

Cases for Your Consideration 232

Web Resources 239

References 239

Chapter 12 Patient Issues and Ethics 241

Points to Ponder 241

Words to Remember 241

Paternalism, or "We Know What's Best" 241

The Patient Healthcare Experience 244

Measuring the Patient Experience 247

How Does Measurement Relate to Ethics? 249

Providing Care Through a Different Vision: Patient-Centered Care and Ethics 250

Summary 255

Cases for Your Consideration 256

Web Resource 265

References 265

Section IV The Inner Circle of Ethics 267

Introduction 267

Chapter 13 Moral Integrity 269

Points to Ponder 269

Words to Remember 269

Definitions of Morality 269

What Do the Experts Say About Morality? 271

Maintaining Your Moral Integrity 278

Summary 280

Ten Challenges for Maintaining Moral Integrity 280

Web Resources 291

References 291

Chapter 14 Codes of Ethics and Administrative Practice 293

Points to Ponder 293

Words to Remember 293

Introduction to Codes of Ethics for Professionals 293

Why Bother with Codes of Ethics? 294

Code of Ethics for the American College of Healthcare Executives 297

Learning from Other Codes 299

Limitations and Criticisms of Codes 306

Summary 307

Five Challenges for Living in Code 308

Web Resources 310

References 310

Chapter 15 Practicing as an Ethical Administrator 311

Points to Ponder 311

Words to Remember 311

Introduction 311

Key Processes of Healthcare Administration and Ethics 312

Wisdom from the Masters: Ethics in Practice 321

Voices from the Healthcare Field 325

Summary 328

Challenges 328

Web Resources 330

References 330

Chapter 16 Where Do We Go From Here? 331

Points to Ponder 331

Words to Remember 331

Summary of Previous Chapters 331

The Future, or Who Hid the Crystal Ball? 334

Final Summary 339

Web Resources 339

References 339

References 341

Index 349

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