Search

Offering a comprehensive and updated review of both health law and ethics, Legal and Ethical Essentials of Health Care Administration, Fourth Edition provides the reader with the necessary knowledge to become conversant with both legal and ethical issues pertinent to the healthcare profession. Using reader-friendly language, the book presents actual court cases, state and federal statues, and common-law principles to help the student understand the practical application of the concepts learned. The author includes a broad discussion of the legal system, including the sources of law and government organization as well as basic reviews of tort law, criminal issues, contracts, civil procedure and trial practice, and a wide range of real-life legal and ethical dilemmas that caregivers have faced as they wound their way through the courts.

How work gets done in complex health care systems is ethically important. When health care professionals and other staff are pressured to improvise, fix structural problems, or comply with competing policies, the uncertainty and distress they experience have potential consequences for patients, families, colleagues, and the system itself. This book presents a new theory of health care ethics that is grounded in the nature of health care work and how it is shaped by the ever-changing conditions of complex systems, in particular, problems of safety and harm. By exploring workarounds and other improvised practices in complex health care systems that are difficult for professionals to talk about openly, yet have unclear effects, including their value or risk to patients, this book offers a realistic look at our changing health care system and how we can improve the way we manage moral problems arising in the care of the sick. Berlinger argues that health care ethics in complex and changing health care systems should reflect the moral complexity of health care work, analyze common ethical challenges with reference to behaviors and pressures driven by the system itself, and support opportunities for health care professionals and staff at all levels to reflect on the problems they face and to take part in social change. The book's chapters include frameworks for looking at ethical challenges in health care as problems of safety and harm with consequences for patients. Are Workarounds Ethical? is designed to support clinician education in medicine, nursing, and interdisciplinary contexts and recommend methods for integrating ethics, safety, and justice in practice.

Recent social developments, such as demographic change, skill shortages and new medical technologies, have necessitated a transition in the traditional roles of health-care professions. New forms of division of labour and inter-professional health-care education are emerging while at the same time ethical challenges, such as corruption and conflicts of interest, have to be mastered. This book addresses historical, conceptual and empirical aspects of professionalism and inter-professionalism in health care from an international and interdisciplinary perspective. The work is divided into five sections: historical and societal aspects of health care professions; learning and teaching medical professionalism; transformation of health care professions; professional leadership and team decision-making in health care; and ethical challenges to health care professionalism. The final chapter integrates the main ideas and perspectives on health-care professionalism which have been developed throughout the book and highlights how the work in the diverse disciplines is interrelated. The book will be a valuable reference for the many researchers and students with an interest in medical ethics, professionalism and comparative systems of healthcare.

In recent years, international medicine has become a growth industry. International aid organizations, religious organizations, and medical schools all provide opportunities for health care workers to travel to developing countries to provide needed medical care to the world's poorest citizens. Ethics for International Medicine explores the many challenges faced by these medical aid workers from the West: They serve in settings with limited medical supplies, facilities, and personnel. Their patients speak different languages, have different cultures, and may even have different interpretations of disease. With limited time in which to provide medical care to hundreds of people or more, ethical dilemmas abound, and many health care practitioners, both novice and expert, are unprepared to manage them. This volume uses a series of cases studies to provide medical aid workers with a method for identifying, analyzing, and resolving ethical issues within the context of international medicine. It is an invaluable tool for individuals and health organizations seeking to serve in developing countries throughout the world.

Designated a Doody's Core Title! Lachman successfully addresses the most important topics in health care ethics in this volume...The 20 chapters are divided logically and proceed onward from those dealing with the evolution of the philosophical basis for personal and organizational ethics...This text would be a highly useful resource for both undergraduate- and graduate-level health care ethics courses... Summing Up: Recommended. --Choice This book is written for'all healthcare professionals,'from those providing healthcare services to those administrating healthcare organizations. [It] offers a detailed account of the concept of moral courage within the context of healthcare delivery?.[and] offers clarity and advice on numerous ethical problems. --Doody's Stand up for what you believe in, even if it means standing alone. -Nelson Mandela As a health professional or health care leader, have you ever: Had to address the problem of uninsured patients in your hospital? Had to deliver bad news to patients and families? Wanted to report an unethical colleague? If so, you need this book on your bookshelf. Health care managers and professionals face serious ethical dilemmas like these every day. This book provides the knowledge, insight, strategies, and encouragement necessary for developing moral courage in health care practice, even in the face of adversity. Lachman outlines both personal and organizational strategies to help nurses, physicians, physical therapists, and health care leaders develop moral courage, and face difficult ethical challenges in health care practice and management head-on. Lachman presents numerous, real-life case examples to illustrate skills and opportunities for developing moral courage in the workplace. Also included are tips for executives on how to develop their ethical leadership skills. Key Features: Presents guidelines for developing moral courage for organization leaders as well as for individual practitioners Discusses topics of critical concern to nurses and physicians, including patient autonomy, informed consent, and the importance of truth-telling Highlights pressing issues for health care leaders, including the uninsured in America, managing disruptive practitioners, and promoting patient safety Includes guidelines for standing up and speaking out against unethical practices Reiterates Key Points to Remember at the end of each chapter

Critical Interventions in the Ethics of Healthcare argues that traditional modes of bioethics are proving incommensurable with burgeoning biotechnologies and consequently, emerging subjectivities. Drawn from diverse disciplines, this volume works toward a new mode of discourse in bioethics, offering a critique of the current norms and constraints under which Western healthcare operates. The contributions imagine new, less paternalistic, terms by which bioethics might proceed - terms that do not resort to exclusively Western models of liberal humanism or to the logic of neoliberal economies. It is argued that in this way, we can begin to develop an ethical vocabulary that does justice to the challenges of our age. Bringing together theorists, practitioners and clinicians to present a wide variety of related disciplinary concerns and perspectives on bioethics, this volume challenges the underlying assumptions that continue to hold sway in the ethics of medicine and health sciences.

Edited by four leading members of the new generation of medical and healthcare ethicists working in the UK, respected worldwide for their work in medical ethics, Principles of Health Care Ethics, Second Edition is a standard resource for students, professionals, and academics wishing to understand current and future issues in healthcare ethics. With a distinguished international panel of contributors working at the leading edge of academia, this volume presents a comprehensive guide to the field, with state of the art introductions to the wide range of topics in modern healthcare ethics, from consent to human rights, from utilitarianism to feminism, from the doctor-patient relationship to xenotransplantation. This volume is the Second Edition of the highly successful work edited by Professor Raanan Gillon, Emeritus Professor of Medical Ethics at Imperial College London and former editor of the Journal of Medical Ethics, the leading journal in this field. Developments from the First Edition include: The focus on'Four Principles Method'is relaxed to cover more different methods in health care ethics. More material on new medical technologies is included, the coverage of issues on the doctor/patient relationship is expanded, and material on ethics and public health is brought together into a new section.Richard Edmund Ashcroft, Reader in Biomedical Ethics, Imperial College, London, UK. Angus Dawson, Director, Centre for Professional Ethics, University of Keele, UK. Heather Draper, Senior Lecturer in Healthcare Ethics, University of Birmingham, UK. John McMillan, Senior Lecturer in Medical Ethics, Hull-York Medical School, UK.

Revealing the dark truth about the impact of predatory private equity firms on American health care.Won Gold from the Axiom Book Award in the Category of Business Ethics, the Benjamin Franklin Awards by the Independent Book Publishers Association and the North American Book Award in the Catergory of Business Finance, Finalist of the American Book Fest Best Book Social Change and Current Events by the American Book FestPrivate equity (PE) firms pervade all aspects of our modern lives. Unlike other corporations, which generally manufacture products or provide services, they leverage considerable debt and other people's money to buy and sell businesses with the sole aim of earning supersized profits in the shortest time possible. With a voracious appetite and trillions of dollars at its disposal, the private equity industry is now buying everything from your opioid treatment center to that helicopter that helps swoop you up from a car crash site. It may even control how and when you can get your kidney dialysis. In Ethically Challenged, Laura Katz Olson describes how PE firms are gobbling up physician and dental practices; home care and hospice agencies; substance abuse, eating disorder, and autism services; urgent care facilities; and emergency medical transportation. With a sharp eye on cost and quality of care, Olson investigates the PE industry's impact on these essential services. She explains how PE firms pile up massive debt on their investment targets and how they bleed these enterprises with assorted fees and dividends for themselves. Throughout, she argues that public pension funds, which provide the preponderance of equity for PE buyouts, tend to ignore the pesky fact that their money may be undermining the very health care system their workers and retirees rely on.Weaving together insights from interviews with business owners and experts, newspaper articles, purchased data sets, and industry publications, Olson offers a unique perspective and appreciation of the significance of PE investments in health care. The first book to comprehensively address private equity and health care, Ethically Challenged raises the curtain on an industry notorious for its secrecy, exposing the nefarious side of its maneuvers.

The ethical issues that arise in healthcare organizations are not limited to decisions made by clinicians. Everyday operational decisions made by healthcare managers also have weighty ethical implications. Ethics and Professionalism for Healthcare Managers prepares readers to recognize and respond to the ethical dilemmas they will encounter on a regular basis during their career in healthcare management. Through cases, exercises, and self-quizzes, readers can apply the theories and tools presented in the text to actual situations they may find themselves facing. This updated second edition contains a new chapter on health policy, health disparities, and ethics that focuses on the interrelationships of cost, quality, and access. The chapter on ethical decision-making has also been extensively revised to include discussion of moral distress, expanded coverage of medical futility, and an introduction to the precautionary principle. Throughout, the book's cases and examples have been updated to reflect current, real-world ethical issues in healthcare management. Other new content in this edition covers:Moral engagement, moral disengagement, and the concept of moral courageThe five Cs (competence, consent, confidentiality, crossing boundaries, and culture)Ethical implications of current health informatics, including electronic health records and the exchange of health informationContinuous review and supervision of research integrityEthical operations management during the COVID-19 pandemic Also new to this edition, chapters are grouped into three overarching themes—ethics and the profession of healthcare management, ethical decision-making, and ethical applications. Each section is introduced by an AMA Journal of Ethics case study that sets the stage for the chapters that follow. Managers working in healthcare's many settings are frequently tasked with addressing ethical dilemmas. This book provides a practical framework for confronting and resolving ethical conflicts throughout a healthcare organization.

The landmark 20th edition is even more relevant than ever, giving you essential information for the best patient care. Keep current with the latest clinical practice guidelines and policies from the American Academy of Pediatrics covering more than 40 clinical practice guidelines, plus every AAP policy statement, clinical report, and technical report through December 2019. Updated and expanded content: Text and eBook access to AAP clinical practice guidelines and full text of the 2019 AAP policies More than 600 policy statements, clinical reports, and technical reports Includes new clinical practice guideline: Diagnosis, Evaluation, and treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents Quick reference tools, including coding tips and patient education handouts Ease of use with user-friendly sections and appendixes AAP-endorsed clinical practice guidelines and policy statements from other groups

The legitimacy of any national health system depends on how it serves the interest of the poorest and most vulnerable people. As such, a commitment to equity should be at the heart of human rights discussions regarding universal health coverage. Human Rights, Public Values, and Leadership in Healthcare Policy is an essential reference source on the importance of access to timely, quality, and affordable healthcare, and how overt or implicit discrimination in the delivery of health services violates fundamental human rights and can have serious health consequences. This publication covers current health-policy debates and reforms that focus on extending universal health coverage, decreasing the growth of costs through improved efficiency, and expanding prevention and wellness of programs. While highlighting topics such as authority hierarchy, HIV/AIDS experiences, and veterans'mental health, this publication is ideally designed for health practitioners/professionals, scholars, researchers, institutions, students, consultants, and policymakers.

Organized around the four central themes of healthcare ethics (theoretical foundations and issues for individuals, organizations, and society), Health Care Ethics, Fourth Edition brings together the insights of a diverse panel of leading experts in the fields of bioethics, long-term care, and health administration, among others. Students will build on this critical platform to develop an extensive toolbox of analytical and problem-solving skills. The fully revised and updated Fourth Edition addresses current changes in health care, including three new chapters covering ethical issues related to Health Information Management, Patient Safety, and Epidemics. All other chapters have been updated to reflect the most recent developments in medical technology and new challenges faced by health care professionals in the era of the ACA.

As a scientific, materialist worldview becomes increasingly difficult to repudiate, and as philosophers increasingly uncover and articulate the conceptual nature of morality and distinctively moral normativity, the threat of moral anti-realism becomes more and more real. This perspective is argued in Chapter One. Chapter Two discusses how laws and bioethical trends that pertain to the clinical management of patients in a vegetative coma differ from country to country and continue to give rise to unresolved legal debates and scientific controversy. Chapter Three covers how caregivers in palliative care must be supported to better understand patient's hopes and needs, making them comfortable to decide when or how much they want to eat. Chapter Four synthesizes findings from four empirical studies conducted in Western Africa (Togo) on topics related to the autonomy (end of life decision-making among terminally-ill patients), benevolence and non-malevolence (breaking bad news to elderly patients and their families), and justice (informal payments to physicians, criminal prosecution in cases of HIV transmission) principles of bioethics. Finally, Chapter Five argues that expert members in Ethics committees have an unfair upper-hand, with their decisions trumping other debates in committee deliberations. Qualitative research is brought to bear which illustrates this and which also notes how expertise dilutes the training given to newly appointed ethics committee members.

Much of the previous literature in the field of safety focuses on either the technical equipment issues or the human performance factors that contribute to the active failures in safety-critical systems. However, this book provides guidance in the moral or ethical aspects of decision-making that perpetuate many of the latent failures in safety-critical systems. The book provides a concise introduction to the ethical foundations and follows up with case studies from aviation, healthcare, and environmental and occupational health.

In this book, an evidence-based approach to dietary and lifestyle medicine is taken. An approach known as'epidemiology-based health promotion,'which compiles and presents available evidence that could help physicians, other healthcare professionals and members of the general public make wiser decision about healthcare, is also explored. Within this book, evidence-based practice (EBP) literature is reviewed, including literature on leadership and ethics in the field of internal medicine (compared to surgery) and how they affect the adoption of evidence-based medicine (EBM). A four-stage iterative model to identify procedures for implementing evidence based practices into applied settings is reviewed. The authors of the final chapter compare the cost-benefit and cost-effectiveness of all types of evidence-based medicine, both pharmaceuticals and non-drug complementary and alternative medicine (CAM) for all clinical conditions.

With its initial publication in 1978, BIOETHICS became the first reference to focus solely on a then burgeoning field, in effect helping to define the discipline. Both the first and second (1995) editions won the Dartmouth Medal, and the set remains the standard reference on bioethics for teachers, students, and those in related fields of health care, philosophy, environmentalism, law, and religious studies. The fourth edition offers hundreds of revisions or addenda to entries from previous editions as well as over 100 new or rewritten entries on topics such as key cases in bioethics, the human biome, genetically modified foods, emergency preparedness and response, social justice, sustainability, chemical warfare and torture, among many others. Revised articles will explain the events as well as legislation changes of the past decade. The work is also being expanded to include views of nations and cultures other than the United States on such issues as abortion, medical triage, social responsibility, access to health care, stem cell research, etc.

Being a patient is a unique interpersonal experience but it is also a universal human experience. The relationships formed when we are patients can also teach some of life's most important lessons, and these relationships provide a special window into ethics, especially the ethics of healthcare professionals. This book answers two basic questions: As patients see it, what things allow relationships with healthcare providers to become therapeutic? What can this teach us about healthcare ethics? This volume presents detailed descriptions and analyses of 50 interviews with 58 patients, representing a wide spectrum of illnesses and clinician specialties. The authors argue that the structure, rhythm, and horizon of routine patient care are ultimately grounded in patient vulnerability and clinician responsiveness. From the short interview segments, the longer vignettes and the full patient stories presented here emerge the neglected dimensions of healthcare and healthcare ethics. What becomes visible is an ethics of everyday interdependence, with mutual responsibilities that follow from this moral symbiosis. Both professional expressions of healthcare ethics and the field of bioethics need to be informed and reformed by this distinctive, more patient-centered, turn in how we understand both patient care as a whole and the ethics of care more specifically. The final chapters present revised codes of ethics for health professionals, as well as the implications for medical and health professions education.

What are the moral challenges that confront doctors as they manage healthcare institutions? How do we build trust in medical organisations? How do we conceptualize moral action? Based on accounts given by senior doctors from organisations throughout the UK, this book discusses the issues medical leaders find most troubling and identifies the moral tensions they face. Moral Leadership in Medicine examines in detail how doctors protect patients'interests, implement morally controversial change, manage colleagues in difficulty and rebuild trust after serious medical harm. The book discusses how leaders develop moral narratives to make sense of these situations, how they behave while balancing conflicting moral goals and how they influence those around them to do the right thing in difficult circumstances. Based on empirical ethical analysis, this volume is essential reading for clinicians in leadership roles and students and academics in the fields of healthcare management, medical law and healthcare ethics.

Historically associated with military service, conscientious objection has become a significant phenomenon in health care. Mark Wicclair offers a comprehensive ethical analysis of conscientious objection in three representative health care professions: medicine, nursing and pharmacy. He critically examines two extreme positions: the'incompatibility thesis', that it is contrary to the professional obligations of practitioners to refuse provision of any service within the scope of their professional competence; and'conscience absolutism', that they should be exempted from performing any action contrary to their conscience. He argues for a compromise approach that accommodates conscience-based refusals within the limits of specified ethical constraints. He also explores conscientious objection by students in each of the three professions, discusses conscience protection legislation and conscience-based refusals by pharmacies and hospitals, and analyzes several cases. His book is a valuable resource for scholars, professionals, trainees, students, and anyone interested in this increasingly important aspect of health care.

In this volume, Hugo Letiche tackles the all-important question, is there “care” in healthcare? If, as Klaus Krippendorff(2006) argues, “meaning is a structured space, a network of expected senses, a set of possibilities…[that] emerges in the use of language,” then within the healthcare systems of today, the meaning of “care” has been defined to be the eradication of a problem. We must recognize that patients do not wish to regarded merely as a problem requiring eradication. Letiche is opposed to the very idea that complexity reduction can address the humanity of each individual healthcare situation. He argues that, through narratives and through complexity based social theory, the complexity of each individual situation must be transcended through mindful listening and engaged dialogue. Letiche suggests that in the absence of such mindfulness, the lack of time for true listening, and the inability of providers and systems to allow for patients and family to engage in dialogue lies both the roots of the problem and the potential for its solution. If complexity theory has a role in the analysis understanding and betterment of social systems, then approaches such as the one Letiche undertakes herein will become essential tools of the trade.

Health Care Ethics is a comprehensive study of significant issues affecting health care and the ethics of health care from the perspective of Catholic theology. It aims to help Christian, and especially Catholic, health care professionals solve concrete problems in terms of principles rooted in scripture and tested by individual experience; however, its basis in real medical experience makes this book a valuable resource for anyone with a general interest in health care ethics.This fifth edition, which includes important contributions by Jean deBlois, C.S.J., considers everyday ethical questions and dilemmas in clinical care and deals more deeply with issues of women's health, mental health, sexual orientation, artificial reproduction, and the new social issues in health care. The authors devote special attention to the various ethical theories currently in use in the United States while clearly presenting a method of ethical decision making based in the Catholic tradition. They discuss the needs of the human person, outlining what it means to be human, both as an individual and as part of a community.This volume has been significantly updated to include new discussions of recent clinical innovations and theoretical issues that have arisen in the field:• the Human Genome Project• efforts to control sexual selection of infants• efforts to genetically modify the human genotype and phenotype• the development of palliative care as a medical specialty• the acceptance of non-heart beating persons as organ donors• embryo development and stem cell research• reconstructive and cosmetic surgery• nutrition and obesity• medical mistakes• the negative effects of managed care on the patient-physician relationship• recent papal allocution regarding care of patients in a persistent vegetative state and palliative care for dying patients

Listening to the Whispers gives voice to scholars in philosophy, medical anthropology, physical therapy, and nursing, helping readers re-think ethics across the disciplines in the context of today's healthcare system. Diverse voices, often unheard, challenge readers to enlarge the circle of their ethical concerns and look for hidden pathways toward new understandings of ethics. Essays range from a focus on the context of corporatization and managed care environments to a call for questioning the fundamental values of society as these values silently affect many others in healthcare. Each chapter is followed by a brief essay that highlights issues useful for scholarly research and classroom discussion. The conversations of interpretive research in healthcare contained in this volume encourage readers to re-think ethics in ways that will help to create an ethical healthcare system with a future of new possibilities. Outstanding Academic Title, Choice Magazine

The ethical theories employed in health care today assume, in the main, a modern Western philosophical framework. Yet the diversity of cultural and religious assumptions regarding human nature, health and illness, life and death, and the status of the individual suggest that a cross-cultural study of health care ethics is needed. A Cross-Cultural Dialogue on Health Care Ethics provides this study. It shows that ethical questions can be resolved by examining the ethical principles present in each culture, critically assessing each value, and identifying common values found within all traditions, It encourages the development of global awareness and sensitivity to and respect for the diversity of peoples and their values and will advance understanding as well as help to foster a greater balance and a fuller truth in consideration of the human condition and what makes for health and wholeness.