Ethics In Health Administration: A Practical Approach For Decision Makers: A Practical Approach for Decision Makers

Description

With rapidly advancing technology and the ongoing discussion of health care reform post-Affordable Care Act, today's healthcare administrators require a strong foundation in practice-based ethics to confront the challenges of the current health care landscape. Ethics in Health Administration: A Practical Approach for Decision Makers, Fourth Edition focuses on the application of ethics to the critical issues faced by today's healthcare administrators. After establishing a foundation in theory and principles, the text encourages students to apply ethics to areas of change, regulation, technology and fiscal responsibility in healthcare. Thoroughly updated and more reader-friendly, the Fourth Edition has been significantly revised to include new cases, updated content, and additional resources to engage students while challenging them to think critically. Key Features: • New cases in every chapter based on real-world events help to emphasize chapter content and encourage students to apply ethics to realistic situations. • A new chapter on the Ethics in the Epoch of Change stresses major changes in healthcare, including the digital revolution, population health, ethics temptations and ethic resilience. • New coverage of emerging senior service markets and functional medicine are addressed in Chapter 6. • Every chapter now includes ethics application questions, summary statements, Web sites, and additional resources to further enhance learning. Cover......Page 1 ETHICS in Health Administration: A Practical Approach for Decision Makers......Page 2 Copyright Page......Page 3 Dedication......Page 4 Contents......Page 6 Preface to the Fourth Edition......Page 9 Acknowledgments......Page 10 SECTION I Foundations for Ethics......Page 12 Introduction and Definitions......Page 16 Definitions of the Word Ethics......Page 17 Ethics Theory and Its Application......Page 18 Global Ethical Theories......Page 19 Personal Ethical Theories......Page 26 Summary......Page 34 References......Page 36 Introduction to Principles of Ethics......Page 38 Autonomy as Informed Consent......Page 39 Autonomy as Confidentiality......Page 42 Autonomy as Truth-Telling......Page 44 Autonomy as Fidelity......Page 46 Summary......Page 48 Web Resources......Page 53 References......Page 54 Beneficence in Healthcare Settings......Page 55 Nonmaleficence in Patient Care......Page 58 Summary......Page 62 References......Page 67 Introduction and Definitions......Page 68 Patient Justice......Page 69 Staff Justice......Page 70 Distributive Justice......Page 73 Market Justice......Page 75 Social Justice......Page 76 Summary......Page 78 Web Resources......Page 82 References......Page 83 Introduction to the Epoch of Change......Page 84 Changes for the Healthcare Industry......Page 85 Change and Ethics Resilience......Page 88 Summary......Page 89 References......Page 93 SECTION II External Influences on Ethics......Page 96 Introduction......Page 98 General Market Forces......Page 99 Managed Care and Ethics......Page 100 Change in Physician Practice Models......Page 103 The Aging of the Baby Boomers......Page 105 The Expanding Senior Care Market......Page 106 Summary......Page 108 Web Resources......Page 111 References......Page 112 Introduction and Definitions......Page 113 The Joint Commission......Page 116 Health Insurance Portability and Accountability Act......Page 117 Ethics and Accountability......Page 118 The Ethics of Advocacy......Page 119 The Ethics of Competency......Page 120 Summary......Page 125 References......Page 131 Introduction and Definitions......Page 133 Ethics and Decision-making......Page 135 Health Information Technology......Page 136 Electronic Health Records......Page 139 Ethics Issues for Electronic Health Records......Page 140 Emerging Technology and Ethics......Page 141 The HCA’s Role in Emerging Technology......Page 143 Summary......Page 145 References......Page 151 SECTION III Organizational Influences on Ethics......Page 154 Health Care is a Business Like No Other......Page 156 Nonprofit Versus For-Profit Organizations......Page 159 Healthcare Finance and Change......Page 160 Stewardship, Ethics, and Practical Wisdom......Page 167 Ethics and Healthcare Finance......Page 168 Summary......Page 171 References......Page 176 Introduction......Page 178 The Patient Culture......Page 179 Professional Cultures and Ethics......Page 181 HCAs and Ethics......Page 184 Organizational Culture......Page 186 Response to Culture and Ethics......Page 187 Summary......Page 190 Web Resources......Page 195 References......Page 196 Introduction......Page 197 Quality Foundations......Page 198 Measuring Quality and Value......Page 200 The Quality Response......Page 203 The Ethics of Quality......Page 204 Compliance Is Not Enough......Page 206 Summary......Page 207 Web Resources......Page 211 References......Page 212 Introduction......Page 213 Patient Cultural Evolution......Page 214 Defining Patient-Centered Care......Page 216 Patient-Centered Care and Ethics......Page 217 The Role of the HCA......Page 224 Summary......Page 225 References......Page 231 Introduction and Definitions......Page 233 Public Health Professionals......Page 235 Ethics and Public Health......Page 236 Summary......Page 239 References......Page 245 Introduction and Definitions......Page 246 What Do the Experts Say About Morality?......Page 248 Morality Ignored: What Happens When the Compass Is Broken?......Page 250 HCAs and Personal Moral Integrity......Page 254 Ten Challenges for Maintaining Moral Integrity......Page 255 References......Page 263 SECTION IV The Inner Circle of Ethics......Page 266 Introduction and Definitions......Page 268 Who Cares About Codes?......Page 269 Application of Healthcare Codes of Ethics......Page 270 Begin with Healthcare Administration Codes......Page 271 Why Know Clinical Codes of Ethics?......Page 274 Limitations and Criticisms of Codes of Ethics......Page 276 Five Challenges for Living by Code......Page 277 References......Page 279 Ethics and the Process of Health Administration......Page 281 Practical Ethics......Page 287 Ethics Lessons from Life......Page 290 Meeting the Challenges......Page 291 References......Page 292 Glossary......Page 294 Index......Page 300