Many of the chapters relate to medical research as well as medical procedures, with the informed consent issue in particular affecting both human beings involved in medical research and those facing a medical crisis and wanting to now what their treatment will entail.
Throughout, the authors present ways of thinking about these ethical issues and also encourage medical personnel to consider these matters and to have a means for making decisions in mind at all times and to follow certain procedures in analyzing a situation and making a determination as to what behavior is acceptable and what is not. Some of the issues discussed are more controversial than others, with abortion being perhaps the most controversial and so the most in need of an ethical structure to decide between competing interests. The death and dying issue is another with two clear positions polarizing the argument and with a range of…...
mlaWorks Cited
Garrett, Thomas M., Harold W. Baillie, and Rosellen M. Garrett.
Health Care Ethics: Principles and Problems. Upper Saddle River, New Jersey: Prentice-Hall, 2001.
While freedom of religion absolutely guarantees the right to refrain from choosing to submit to stem cell-based treatment, the same freedoms and the concept of separation of church and state absolutely preclude religious beliefs about when life "begins" (or about anything else) from dictating laws that affect other people who may not share those particular beliefs (Dershowitz, 2002).
Beneficence and Non-malfeasance
Certainly, both the concept of beneficence and non-malfeasance absolutely prohibit the use of fetal stem cells from any fetus that is sufficiently developed to be considered a "person" as well as from any fetus that is sufficiently developed to sense pain. Medical authorities may debate where the exact point is where "personhood" first becomes an issue, but in principle, that characterization must be a function of objective criteria and never subjective beliefs of laypeople, especially based in religion (Dershowitz, 2002).
Both beneficence and the duty to avoid malfeasance prohibit using any…...
mlaReferences
Dershowitz, a. (2002). Shouting Fire: Civil Liberties in a Turbulent Age. New York:
Little Brown & Co.
Levine, C. (2008). Taking Sides: Clashing Views on Bioethical Issues. Dubuque, Iowa:
McGraw Hill.
Ethics in Health Care
The medical industry is filled with professionals who must be competent in many aspects of interaction in order to be successful and allow for patients to heal themselves in a positive manner. Professionalism is noted by a certain ethical attitude that must permeate the environment if the efforts of these people are to be successful. The ethical approach within the medical industry is extremely important due to the nature of the job and the reliance that normal everyday people have on the professionals within this industry to make wise choices based on the best interests of the individual.
The four major ethical principles of autonomy, non-malfeasance, beneficence and justice are ideals that may be rightly or wrongly applied to a patients healing process within the health care industry. The purpose of this essay is to describe the ethical issue of patient non-compliance with treatment using these four aforementioned…...
mlaReferences
Coy, J.A. (1989). Autonomy-based informed consent: ethical implications for patient noncompliance. Physical Therapy, 69(10), 826-833.
Habermann, B., Broome, M., Pryor, E.R., & Ziner, K.W. (2010). Research coordinators experiences with scientific misconduct and research integrity. Nursing research, 59(1), 51.
Sciberras, N. et al. (2013). The Ethical and Practical Challenges of Patient Noncompliance in Orthopedic Surgery. Journal of Bone and Joint Surgery, 2013 May.
Individual ethical choices have strong impacts on organizational ethical behaviors. In fact, individual ethical choices are precisely what constitute organizational ethics, as organizations are only as ethical as their employees. In health care organizations, ethics become critical and may have strong bearings on patient outcomes or community health outcomes. Professional ethical standards and personal ethical codes combine to influence my ethical decisions.
The ACHE Ethics Self-Assessment Tool highlights the multitude of ways an individual's behavior may impact the organization, its clients, and its stakeholders. The inventory includes items related to leadership behaviors, communications issues, honesty, personal integrity, compliance with ethical standards, and willingness to broach difficult subjects with supervisors or colleagues. Categories include leadership, relationships with community, patients, patient families, the board, colleagues, staff, clinicians, and buyers or purveyors. The thoroughness of the ACHE Ethics Self-Assessment allows for a reliable and accurate personal inventory worthy of in-depth reflection.
My scores did not…...
Ethics in HealthcareIntroductionThe healthcare industry is an area where ethical issues are frequently encountered, especially those related to finances and resources. Healthcare providers are responsible for ensuring that patients receive the best possible care while navigating the complexities of the healthcare system. However, financial concerns can create ethical dilemmas that require careful consideration and ethical decision-making. This essay will explore two common ethical issues related to finance in the healthcare industry and discuss the impact of the moral principles of autonomy, non-maleficence, beneficence, and justice on ethical decision-making. The role of Ethics Boards and Committees in dealing with ethical issues will also be examined.Examples of Ethics in HealthcareTwo examples of ethical issues frequently encountered in healthcare related to finance are rationing of healthcare resources and financial conflicts of interest. Rationing of healthcare resources is a prevalent ethical issue in healthcare related to finance (Farrell et al., 2020). The healthcare industry…...
mlaReferences
Chebli, P., Lemus, J., Avila, C., Peña, K., Mariscal, B., Merlos, S., ... & Molina, Y. (2020). Multilevel determinants of financial toxicity in breast cancer care: perspectives of healthcare professionals and Latina survivors. Supportive Care in Cancer, 28, 3179-3188.
Farrell, T. W., Francis, L., Brown, T., Ferrante, L. E., Widera, E., Rhodes, R., ... & Saliba, D.(2020). Rationing limited healthcare resources in the COVID?19 era and beyond: ethical considerations regarding older adults. Journal of the American Geriatrics Society, 68(6), 1143-1149.
Assuming all those issues are addressed, mandatory HPV vaccination may be a good idea for all children and the option should be made available to adults and funded, at least in part, by government funds and profit limitations on vaccine sales. EFEENCES
Allen, Terry, J. Merck's Murky Dealings: HPV Vaccine Lobby Backfires; Corpwatch (March 7, 2008). etrieved March 26, 2008, from Corpwatch: Holding Corporations Accountable website, at http://www.corpwatch.org/article.php?id=14401
Pharmaceutical News (March 5, 2008) Safety of Merck's HPV Vaccine Gardasil 'Lost' in Debate. etrieved March 26, 2008, from News-Medical.net…...
mlaREFERENCES
Allen, Terry, J. Merck's Murky Dealings: HPV Vaccine Lobby Backfires; Corpwatch (March 7, 2008). Retrieved March 26, 2008, from Corpwatch: Holding Corporations Accountable website, at http://www.corpwatch.org/article.php?id=14401
Pharmaceutical News (March 5, 2008) Safety of Merck's HPV Vaccine Gardasil 'Lost' in Debate. Retrieved March 26, 2008, from News-Medical.net website, at http://www.news-medical.net/?id=22415 .
Ethics in a Long-Term Healthcare Business
Ethics in the health care industry spans a wide spectrum of activities and most of the obligations are cast by law on the professionals and the second by the common practice and morals of the profession. Both are important to the progress of the institution and also the health care industry. Compliance of statutes is of primary importance.
Compliance
There are many rules and statutes that must be complied with by all organizations and one such recent legislation is the hospital information access system. The HIPAA rules apply to all personnel in the system and extend to laboratory technicians, and lawyers and insurers. The culpability comes if the information was disclosed to a third party who did not have an association with the entity -- the clinic and was permitted to access the information. In such cases where the physician discloses information to another person who may…...
mlaReferences
Andre, Claire; Velasquez, Manuel. (2013) "Aged-Based Health Care Rationing" Retrieved 8
June, 2013 from http://www.scu.edu/ethics/publications/iie/v3n3/age.html
Chaikind, Hinda R. (2004) "The Health Insurance Portability and Accountability ACT
(Hipaa): Overview and Analyses" Nova Publishers.
Ethical Analysis of Healthcare Rationing
The topic of health care rationing has been the subject of debate in the U.S. The last few years as government expenditures on health care have far exceeded budgeted levels. Central to the concern is the ethical issue over whether it is better if fewer Americans profit with a greater amount of health resource allocation or if the majority benefit to a lesser degree for an equity in health care benefits. In the essay, "We've Got To Ration Health Care," (author unknown) the position is taken that America would fare better to follow the course of health care action seen in other western countries, where it is considered better to ration medical procedures to the extent that a system provides "the highest possible level of basic health care that can be delivered to all the people." With the growing concern over health care rationing, and…...
mlaBibliography
Cook, D & M. Giacomini. 1999. "The Sound of Silence: Rationing Resources for Critically Ill
Patients." Critical Care. 3: R1-R3.
Devettere, RJ. 1993, Feb. "Clinical Ethics and Happiness." Journal of Medical Philosophy.
Devettere, RJ. 2000. Practical Decision Making in Health Care Ethics: Cases and Concepts, 2nd ed. Washington, DC: Georgetown University Press.
A largely insular community since their initial settlement in the United States, the Amish community presents unique challenges for healthcare workers. The Amish eschew modern technology, including many of the tools and techniques used in modern medicine. In fact, the Amish community also forbids higher education (Adams & Leverland, 1986). Misconceptions and misunderstandings about the Amish further complicate healthcare decisions and relationships between healthcare providers and Amish patients. For example, it is commonly assumed that the Amish “lack the preventive practices of immunizations and prenatal care,” (Adams & Leverland, 1986, p. 58). While the rates of immunizations are relatively low among the Amish, the Amish church does not forbid immunization (Adams & Leverland, 1986). The Amish also have a keen interest in disease prevention, health education, and lifestyle choices that prevent health problems (Talpos, 2016). Although Amish attitudes towards health, wellness, and the healthcare system may be at odds with…...
Conclusion
Prejudice and ethical/leadership issues with healthcare are nothing new but the fight to keep those standards and ethics on an even keel and prevent racism, bigotry and predudice of any sort including based on class, money, political ideology, nationalism, and so forth should be stomped out and eviscerated whenever it can be. People are people and should treated with dignity and respect regardless of their race, gender, beliefs and so forth. Even convicted murderers and rapists should not be treated disdain due to their actions because doing otherwise lowers the ethics and standards of the healthcare community that can and should still apply at all times.
eferences
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
143-146.
Cobaugh, D., Angner, E., Kiefe, C., ay, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences on ability to afford prescription medications.
American…...
mlaReferences
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
143-146.
Cobaugh, D., Angner, E., Kiefe, C., Ray, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences on ability to afford prescription medications.
Ethics
One ethical dilemma that arises in health care is with respect to quality improvement techniques (Lynn et al., 2007). While it is accepted that quality improvement activities are an intrinsic part of normal health care operations (Ibid), administrators are obligated to ensure that QI activities are conducted in line with ethical guidelines. An ethical dilemma arises, however, when faced with the opportunity to make a quality improvement based on techniques that seem sound but perhaps lack empirical backing. The dilemma would then feature two pathways. The first is to opt to adopt the quality improvement idea before research has shown conclusively that it is effective, and the second pathway is to not adopt the QI tactic until it has been demonstrated effective. A specific example could be a radical new technique for a challenging condition -- it may not be proven but the situation may be so challenging that the…...
mlaReferences
Lynn, J., Baily, M., Bottrell, M., Jennings, B., Levine, R., Davidoff, F., Casarett, D., Corrigan, J., Fox, E., Wynia, M., Agich, G., O'Kane, M., Speroff, T., Schyve, P., Batalden, P., Tunis, S., Berlinger, N., Cronenwett, L., Fitzmaurice, M., Dubler, N. & James, B. (2007). The ethics of using quality improvement methods in health care. Annals of Internal Medicine. Vol. 146 (2007) 666-673.
Rosenau, P. & Roemer, R. (2013). Chapter 15: Ethical issues in public health and health services. Introduction to Health Services. In possession of the author.
Cookson, R. & Dolan, P. (2000). Principles of justice in health care rationing. Journal of Medical Ethics. Vol. 26 (2000) 323-329.
Health Care ight or Privilege
Health Care ight Privilege
Whether health care is a right or a privilege is one of the most intensely debated social questions of the modern era, but phrasing it in this binary way of one or the other masks a deeper problem that is far more complex. The specific issue at hand is the rationing of scarce medical resources. If there were unlimited resources where everyone could achieve the maximum health all the time, we would not have to ask the question, but this is clearly not the case. Glannon argues this requires a theory of "distributive justice" (2005, p. 144), and outlines the four main theories that have emerged from the modern discussion, which are Utilitarian / consequentialist, Libertarian, Communitarian and Egalitarian.
Utilitarian, consequentialist theory is often invoked toward a solution of who deserves health care when there is not enough for everyone, and tries to maximize…...
mlaReferences
Brownstein, B. (1980). Pareto optimality, external benefits and public goods: a subjectivist approach. The Journal of Libertarian Studies, IV (1), 93-106. Retrieved from mises.org/journals/jls/4_1/4_1_6.pdf
Gensler, H. (1998). Ethics: a contemporary introduction. New York: Routledge.
Glannon, W. (2005). Biomedical ethics. New York: Oxford University Press.
Hare, R. (1963). Freedom and reason. London: Oxford University Press.
Healthcare
Integrity is a major issue for healthcare organizations because there are many avenues for fraud, and for people to demonstrate a lack of ethics. The problem is that the temptation is sometimes too great and despite the fact that there are laws in place to guard against these practices unethical behavior takes place anyway. The government, which supplies a lot of the money which goes for treatments through Medicare and Medicaid, has structured certain laws to make sure that the practices of healthcare organizations are ethical, but billions of dollars in fines are still doled out every year. The big drug companies complain of arcane and hard to decipher legalese, but the fact is that although they realize the issue and the penalty they continue to subvert the law. This paper looks at qui tam statutes and cases, Medicare and Medicaid admissions criteria, installing a corporate integrity program, and patient…...
mlaReferences
American Speech-Language-Hearing Association (ASLHA). (2010). Summary of self- referral and anti-kickback regulations. Retrieved from http://www.asha.org/practice/reimbursement/medicare/regulations_sum.htm
Hanford, J.T. (2001). Regulation of the healthcare professions. Ethics & Medicine, 17(3), 188-190.
Louthian Law Firm. (2012). Healthcare fraud qui tam whistleblower protection lawsuits.
Mattie, A. & Ben-Chitrit, R. (2009) The federal False Claims Act and qui tam actions: What every healthcare manager should know. Journal of Legal, Ethical and Regulatory Issues, 12(2), 49-65.
However, they contradict themselves trough supporting one's right to commit physician-assisted suicide, since this would virtually mean that the individual who is no longer willing to live is not provided with health care meant to prevent him or her from dying (Epstein, 1999, p. 1).
Among those opposed to the fact that health care is becoming increasingly better are those who are in their twenties and are obliged to work hard in order to pay for their own medical insurance and for that of the underprivileged (Bonner, 2010).
Contemporary health care is basically provided by groups forced to pay taxes in order for others to benefit out of the process. The fact that health care is a privilege and not a right was made obvious ever since the 1954 foundation of the Department of Health, Education, and elfare. The name contained the term welfare with the intention of highlighting how health…...
mlaWorks cited:
Bloche, M.G. ed., The Privatization of Health Care Reform: Legal and Regulatory Perspectives (New York: Oxford University Press, 2003)
Epstein, R.A. Mortal Peril: Our Inalienable Right to Health Care? (Cambridge, MA: Perseus Books, 1999)
Heirich, M. Rethinking Health Care: Innovation and Change in America (Boulder, CO: Westview Press, 1998)
Sanders, B. (2009). Retrieved from the Huffington Post Website: http://www.huffingtonpost.com/rep-bernie-sanders/health-care-is-a-right-no_b_212770.html
Health Care Situation: Medical Error Due to Doctors' Bad Handwriting
Identify a health care news situation that affects a health care organization such as a hospital, clinic or insurance company.
I have identified the following health care news situation as the topic of my paper: "Poor Handwriting of Doctors and its implied risks for the Patient, Hospital and Medical Malpractice Insurance." Poor handwriting of physicians resulting in poor legibility of entries into patients' medical records carries very dramatic risks for all above-mentioned interest bearers. It can result in severe health danger for the patient and - in extreme situations - even cause a patient's death. Doctors' bad penmanship has long been seen a problem within organized medicine and the patient safety movement. Three American Medical Association (AMA) policies dating back to 1992, urge doctors to "improve the legibility of handwritten orders for medications" and review all orders for accuracy and legibility after…...
mlaReferences
Berwick, Donald M. & Winickoff, David E. (1996). The truth about doctors' handwriting: a prospective study. BMJ Vol. 313 (21-28 December 1996). 1657-1658. www.bmj.com/content/313/7072/1657.full, accessed 21 August 2011.
Bruner, Anne & Kasdan, Morton.L. Handwriting Errors: Harmful, Wasteful and Preventable.
1-4. www.kyma.org/uploads/file/.../Harmful_wasteful_and_preventable.pdfSimilar, accessed 22 August 2011.
Gallant, Al. (22 November 2009). For a secure electronic health record implementation, user authentication is key. 1-2). searchhealthit.techtarget.com/.../User-authentication-is-critical-for-pl.., accessed 24 August 2011.
1. The Importance of Building Trust in the Professional-Client Relationship: A Study in Healthcare Ethics
2. Balancing Autonomy and Paternalism in the Professional-Client Relationship: Ethical Considerations in Healthcare
3. Exploring the Role of Empathy in Establishing Effective Professional-Client Relationships in Healthcare Settings
4. Professional Boundaries in Healthcare: Ethical Challenges and Strategies for Maintaining a Strong Relationship with Clients
5. Navigating Dual Relationships in Healthcare: Ethical Issues and Best Practices for Professionals
6. The Impact of Effective Communication on the Professional-Client Relationship in Healthcare Ethics
7. Cultural Competence in Healthcare: Ethical Considerations for Professionals in Building Strong Relationships with Diverse Clients
8. Professionalism and Ethics in Healthcare: The....
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