No Margin, No Mission

Health Care Organizations and the Quest for Ethical Excellence
Erscheinungsjahr 2003
ISBN: 978-0-19-515896-0
Verlag: Oxford University Press

Buch, Englisch, 192 Seiten, Print PDF, Format (B × H): 161 mm x 240 mm, Gewicht: 458 g

Can the ethical mission of health care survive among organizations competing for survival in the marketplace? On this question hinges not only the future of health care in the US, but that of the health care systems of all advanced countries. This book presents both an analytic framework and a menu of pragmatic answers. The team of authors, physician-ethicists from Harvard Medical School and the National Institutes of Health, worked with a consortium of health care organizations to explore some of the most challenging dilemmas in health care today: How can health plans determine medical necessity in a way that ensures quality care, controls costs, and builds trust with patients and physicians? What are the strategies for caring for vulnerable populations that meet their special needs without dramatically increasing costs? To answer these and other similar questions the authors blend ethical analysis with real-world example. The outcome is a rich analysis of the ethical challenges facing health care organizations, combined with tangible examples of exemplary methods to address these challenges. This book will help health care leaders, regulators, and policy makers incorporate exemplary practices, and the underlying themes they embody, into the very heart and soul of health care organizations.

Autoren/Hrsg.

Pearson, Steven D.

Sabin, James

Emanuel, Ezekiel J.

Fachgebiete

• Geisteswissenschaften Philosophie Angewandte Ethik & Soziale Verantwortung Medizinische Ethik
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Medizinische Ethik
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Präventivmedizin, Gesundheitsförderung, Medizinisches Screening
• Wirtschaftswissenschaften Volkswirtschaftslehre Wirtschaftssysteme, Wirtschaftsstrukturen
• Medizin | Veterinärmedizin Medizin | Public Health | Pharmazie | Zahnmedizin Medizin, Gesundheitswesen Public Health, Gesundheitsmanagement, Gesundheitsökonomie, Gesundheitspolitik

Inhaltsverzeichnis

- 1: Virtue among the ruins?

- 2: Evidence-based ethics and the BEST Project

- 3: Organizational ethics

- 4: Consumer empowerment

- 5: Medical necessity, coverage decisions, and medical policy

- 6: The care of vulnerable populations

- 7: Community benefits

- 8: The confidentiality of personal health information

- 9: The perennial ethical challenges of health care in competitive systems

Über Autor(innen)

Sabin, James (Clinical Professor of Psychiatry, Harvard Medical School, USA and Harvard Pilgrim Health Care, USA)