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Essays about ethics in healthcare
Chapter 4 summary of health care ethics
Ethical issues in healthcare
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During my Bachelor’s degree, I had to do a final year project. It was a group project. The 4 of us had decided on a topic and then allocated specific topic to each one of us. Three of us did what we were assigned. But the fourth girl always had an excuse for not completing her work. The first few weeks her excuses seemed genuine and as she was our friend, we completed all of her work too. Our ethical dilemma was whether to report it to our project mentor or not. Finally, a few months into the project, we decided that to discuss the situation with our mentor. But, as the fourth person in our group has ‘A’ grade throughout the Bachelor’s program, our mentor found it difficult to believe that the person was not working. After that, our mentor made sure the fourth girl in the group did the work assigned to her, but the mentor also scolded the three of us …show more content…
for not coming to her with the problem sooner. Health Insurance Portability and Accountability Act (HIPPA) is an Act passed by the US Congress which states a set of generally acceptable security standards for health information protection and Health Information Technology for Economic and Clinical Health (HITECH) Act is its extension.
The main ethical dilemma in Healthcare industry is access to information and protecting privacy rights of patients. Handling sensitive data about patient information, storing and transferring it from one system to another is an issue. Storing the data files properly is also essential. The healthcare personnel should not have to go through lengthy paperwork just to access a single record. Patients and auditors can ask for access to the information at any time and so the information needs to be transmitted efficiently and safely to them. Similarly, critical information should not be difficult to retrieve also for a doctor. Suppose in an emergency situation like an accident, the doctor needs to access patient records. The doctor should not have to go through multi-factor authentication system in order to gain access to the records.
[1] Another ethical dilemma is national security vs. the right to privacy. Freedom Act of 2015 imposed restrictions on collection of telecommunication data of US citizens by US security agencies. But the information is still being gathered by private telecommunication companies. The government can still have access to them as they ask for access from private telecommunication companies. According to Foreign Intelligence Surveillance Act (FISA) of 1978, for surveillance on any person living in the United States of America who is not an US Citizen, the government agencies should have an order from the court. Also, the US intelligence agencies can track any person for 72 hours since the person lands in USA if the intelligence agencies suspect the person to be a threat to the nation. [2] References: [1] HIPPA/HITECH Compliance https://www.metricstream.com/solution_briefs/HIPAA_HITECH_compliance_solution_brief_healthcare.htm [2] USA Freedom Act, House of Representatives Judiciary Committee https://judiciary.house.gov/issue/usa-freedom-act/
Today, there are so many legal dilemmas dominating trial for the courts to make a sound legal decision on whose right in a complicated situation. Despite the outcome of the case, the disagreement usually has a profound effect on the healthcare organization, and the industry as a whole. Many cases are arguments centered around if the issue is a legal or moral principle. Regardless what the situation maybe, the final decision is left to the courts to differentiate between the legality issues at hand opposed to justifying a case based on moral rules. According to Pozgar (2012), an ethical dilemma arises in situations where a choice must be made between unpleasant alternative. It can occur whenever a choice involves giving up something good and suffering something bad, no matter what course of action is taken (p. 367). In this paper, I will discuss cases that arose in the healthcare industry that have been tried and brought to justice by the United States court system.
A law is a rule of conduct or action, required (governments endorse laws) to maintain order and public safety in case of a breakdown of law. The criminal & civil law is applied to health-care practitioners or providers, if criminal wrongdoing or negligence occurred in patient’s care. Ethics or moral values serve as the basis for ethical conduct. Our societal values, Family, and cultural values help form an individual’s moral value (Pozgar, 2014, p. 217). The Pozgar further suggests that the healthcare executives needs to understanding the development of law, sources of law, the meaning of different terms to effectively handle change in environment due to frequent policy implementations.
“Public health is controversial because, depending upon how it is defined, it may challenge people’s values and demand sacrifices” (Schnieder 2017: 23). Although the overall goal is to create a policy that is inclusive of every group, this is almost impossible. It is impossible because there are too many conflicting views between each group. Public policy may also have a positive or a negative impact on the economy. One of the major conflict with public health policy is that it may be guided by religious beliefs. For example, issues such as AIDS, other sexual transmitted disease, teenage pregnancy, and low birth rates (20) are some of the major issues that end up being controversial when it comes to religion.
The four major ethical principles in health care are: Autonomy – to honor the patient’s right to make their own decision (the opposite is paternalism - the health care provider knows best for the patient), Beneficence – to help the patient advance his/her own good, Nonmaleficence – to do no harm (many bioethical controversies involves this principle), and Justice – to be fair and treat like cases alike. All 4 principles are considered to be in effect at all times. In theory, each is of equal weight or importance. Ethical responsibilities in a given situation depend in part on the nature of the decision and in part on the roles everyone involved play.
In the modern era, the use of computer technology is very important. Back in the day people only used handwriting on the pieces of paper to save all documents, either in general documents or medical records. Now this medical field is using a computer to kept all medical records or other personnel info. Patient's records may be maintained on databases, so that quick searches can be made. But, even if the computer is very important, the facility must remain always in control all the information they store in a computer. This is because to avoid individuals who do not have a right to the patient's information.
Healthcare administrators are expected to be professional and ethical. Situations will arise where the ethical course of action is not clear. If healthcare administrators learn to be self-regulating and follow their code of ethics, actions and decisions made will be consistent and will be reflective of a good steward of resources.
If all records were electronic and if there were a problem then there would be no records if needed. Therefore two copies of electronic and written then they would have written files to fall back on. The administrator must coordinate the medical organizations doctor’s offices, hospital departments and health care organizations the administrator must also take care of the ethical principles making sure the rights and responsibilities of each member is performed to the organizations satisfaction. Also the administrator is responsible to make sure of the quality control which is making sure that the care is up to the patient’s satisfaction and the organizations. The challenges would be to keep everyone happy and satisfied.
The privacy and security of the health information exchange can be further improved by monitoring access to the electronic records, increasing physician knowledge and awar...
To save or not to save? That is the question. In the hospital setting, many problems arise and it is the duty of the healthcare workers to ensure, aide, and facilitate the patient’s well being to the best of their ability. Though all problems cannot simply be solved with medicine and therapy, it takes a considerate amount of critical thinking as well. What should happen when a problem like making sure a patient stays alive, backfires and the patient actually wants to die? Also, for a person desiring death, it is not considered righteous and we, as humans will deem them as mentally ill. This is where the ethical and moral issues of promoting health and respecting the patient’s right to autonomy are conflicted.
An objective is to aappraise the impact information systems have on privacy, confidentiality, and security of client records. Research and review of the hospitals information systems has privacy, confidentiality, and security of client records. Personal communication from preceptor Barbara Ragione on April 6, 2015, there are several measures doctors and hospitals should take to secure EMR and be compliant with HIPPA. One of the most effective is data encryption. Encryption technology protects EMRs while they are being transferred and ensures that only the intended recipients are able to view them.
When face with difficult ethical decisions in the day to day or during an emergency, the choice is not always easy. In a first hand published account, Dr. Grubb clearly shows the gray space and difficultly ethical decisions can be: It started like any other day. An older man was brought to the hospital following multiple fainting episodes and falls. He was found to be in complete heart block, and a temporary cardiac pacemaker was place.
Working in the medical field can become extremely overwhelming. There are so many tasks to be completed but one of the most important tasks is safeguarding patients’ information. Nowadays, there are many management information systems that are used by medical facilities to ensure patients’ privacy and to store patients’ medical history. However, in most medical facilities the staff must abide by rules and regulations. It is the responsibility of the employees to follow guidelines that are mandated by the U.S. government and the privacy provision.
Ethics are the branch of philosophy that deals with morality, or human conduct. In essence, ethics are moral principles centered on a general belief of what is right or wrong. Similarly, values are principles that signify how important something is to us, and they help to guide our daily behavior. Together, morals and values are interpreted on an individual level to determine one’s personal ethics. By raising one’s awareness regarding their personal ethics, or moral aptitude, individuals are more capable of effectively analyzing complex situations and are better prepared to assist in the decision making process.
Considering carer’s participation in patient’s management and recovery, there is always a debate on the question of how health specialists balance between sharing patient information and confidentiality with carer. Professional persons in health care have legal and ethical obligations to maintain the privacy of information considering the clients in their care. Hence, Professional Codes of Ethics back up laws and deliver direction to health care practitioners regarding practice dilemmas and concerns. In Australia, nurses have legal and ethical policies and legislation to follow in regards to disclosure of patient wellbeing info. The Code of Ethics in Australia has been established like primary moral benchmarks for nursing profession.
Over the years of human existence, many fields of science and art became indicative of developmental success. Current knowledge of different aspects of science is truly remarkable considering how quickly and significantly the insight has improved. Since its early beginning, medicine has always been an ideal model of a progress-integrating pursuit. All the newest and relevant skills or information found in other fields have been used to benefit medical techniques. Even today, many discoveries and innovations of technology and natural science rapidly find their way in medicine.