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
Chapter 1: Introduction to Health Administration Ethics Concept Theoretical Ethics versus Applied Ethics Non-normative 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 Deontology Consequentialism 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 The 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 the 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 Ethical Culture Value of Ethical Culture No Right Answer 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 Concept Case 12.1: Mercy Medical Centre and Your Healthcare Case 12.2: Western Regional Hospital 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: 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 Index
Biography
Joseph M. Byrne is a Professor and the Director of the School of Health Administration at Dalhousie University. He has received awards from the American Psychological Association and the Canadian Psychological Association.
“A preponderance of issues in healthcare ethics faces our public and our healthcare leaders today—this book fills a gaping hole, increasing our understanding and identifying a way forward.”— Donald Juzwishin, School of Public Health, University of Alberta, and Director of Health Technology Assessment and Innovation, Alberta Health Services “As Byrne argues in his book, the decisions we make about healthcare reveal our ethics. Therefore, all of those involved in healthcare decision making—executives, administrators, policy makers, clinicians, students, patients, and caregivers—will benefit from the practical advice offered in these pages. Sound ethical decision making is a cornerstone of safe and effective healthcare planning and delivery.”— Neil J. MacKinnon, Dean, James L. Winkle College of Pharmacy, University of Cincinnati“As the shift in healthcare delivery focuses on improving value and outcomes, this book is timely as a new leading-edge reference for all those administrators faced with ethical decisions in a technology-driven, transparent, and real-time world.”— Pamela Winsor, Senior Director of Health Policy and Stakeholder Engagement, Medtronic Canada
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