Administration Ethics explores the foundations, framework, and practice of ethical decision making in healthcare administration and considers the Healthcare Administrator’s role in ethical management and health policy development. Throughout the text, Joseph Byrne demonstrates the relationship between the foundational concepts of ethics theory, principles, codes, and rights. He positions each concept as a step in the Four-Stage Decision Model to assist students as they evaluate – and later participate in – exceptionally complex ethical decision making. The practical, case-based structure will appeal to graduate and upper-level graduate students in Health Administration, Health Studies, and health-related Philosophy programs as well as healthcare professionals involved in administration and management, or working within policy and health ethics committees. Features:: each chapter contains critical thinking questions the last chapter consists of nine different case studies involving ethical dilemmas:: the first three are fully analyzed for illustrative purposes; the second three are afforded preliminary analysis, allowing the reader to determine the final decision; and the last three cases are unanalyzed, providing the reader an opportunity to complete a full case review
Acknowledgements Preface Section A:: Foundation of Ethical Decision Making Chapter 1:: Introduction to Health Administration Ethics Concept Theoretical Ethics versus Applied Ethics Nonnormative Ethics versus Normative Ethics Ethics versus Law Code of Law versus Code of Ethics Healthcare Ethics Clinical Ethics Administrative Health Ethics Administrative Health Ethics versus Business Ethics Executive Decisions, Ethical Decisions Summary Chapter 2:: Theory of Ethics Concept Egoistic Theory Authority Theory Natural Law Theory Virtue Theory Deontological Theory Consequentialism Theory Summary Chapter 3:: Principle of Nonmaleficence Concept Harm Duty Standard of Care Negligence Vicarious Liability Summary Chapter 4:: Principle of Beneficence Concept Obligation or Aspiration Good versus Bad Intervention Paternalism Summary Chapter 5:: Principle of Autonomy Concept Respect for Autonomy Obstacles to Autonomy Right versus Duty Consent Types of Consent Summary Chapter 6:: Principle of Justice Concept Distributive Justice Competing Needs More Needs, More Decisions Procedural Justice Evaluating Distributive and Procedural Justice Summary Section B:: Framework of Ethical Decision Making Chapter 7:: Code of Ethics Concept Integration of Principles and Theory Aligning Codes of Ethics Canadian Perspective Summary Chapter 8:: Rights, Justice and Administration Ethics Concept Justice versus Right Private Rights Public Rights Moral Rights Balancing Rights Rights, Principles, and Theories Summary Chapter 9:: Model for Ethical Decisions Concept Model for Ethical Decisions Application of Model Summary Section C:: Practice of Ethical Decision Making Chapter 10:: Organizational Culture and Ethics Concept Organization Design Human Capital System Operations Ethical Leadership Assessing Culture of Ethics Value of Ethics Culture No Right Answer, No Right Summary Chapter 11:: Psychology of Decisions Concept Science and Art of Decision Making Neurocognitive Heuristics Social Persuasion Ethical Drift Managing Decision Making Summary Chapter 12:: Contemporary Challenges:: Ethical Cases Case 12.1:: Mercy Medical Centre and YourHealthcare Case 12.2:: Triangle Medical Institute and Accountability Case 12.3:: We Have a Problem and It Needs Fixing Case 12.4:: Too Close to Home Case 12.5:: Preparing for the Worst Case 12.6:: A Culture of Self-Interest Case 12.7:: What about My Rights! Case 12.8:: She Needs Someone to Make Her Decisions Case 12.9:: What Can You Tell Me About the Applicant? Epilogue Critical Thinking Questions References About the Author
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