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The role of leadership in healthcare
The role of leadership in healthcare
The role of leadership in healthcare
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“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. In an article in the New York …show more content…
When members of congress, to include the president, will have to face the decision on what ethical implication with health care will effect, patients, providers, and healthcare leaders. In the article, “Five Top Ethical Issues in Healthcare,” by Jennifer Larson (2013) covers issues that leaders will be facing over the next several years. The first issue that leaders are facing is whether or not healthcare is both quality and efficient. If the proper values are driving the focus of the healthcare system this should not be an issue. However, with so many contradicting values having the proper balance between quality and efficiency may never be reached. The second issue is how to improve the care so that it is accessible to everyone. With such a large gap in those who can and those who cannot afford any health care; a better plan must be created to help those who cannot afford it. Thirdly, the controversy of building and sustaining the healthcare workforce of the future is brought up because there are not a lot of healthcare professionals ready to help those who are chronically ill or need other services. This is becoming a larger issue now, especially with the baby boomer generation aging. Along with the aging baby boomers, the changes with addressing end-of-life issues because a very ethical fight. This fight includes making the decision for the person, who will pay for the end-of-life care, and other issues that affect several people. The last main issue is allocating limited medications and donor organs to the right people. There are several shortages in different types of medication and organ donors and even with several advances, “the Food and Drug Administration still expects shortages to occur” (2013). All of these issues are current ethical issues the healthcare leaders face today, the next step for the leaders is how to solve them without over stepping ethical
Why is it so important that healthcare executives adhere to a professional code of ethics?
The ongoing controversy about Physician assisted suicides is an ongoing battle among physicians, patients and court systems. The question of whether or not individuals have the “right” to choose death over suffering in their final days or hours of life continues to be contested. On one side you have the physicians and the Hippocratic Oath they took to save lives; on the other you have the patients’ right to make life choices, even if that means to choose death to end suffering. The ultimate question “is it ethical for a physician to agree to assisted suicides and is it ethical for a patient to request assisted suicide?
A divergent set of issues and opinions involving medical care for the very seriously ill patient have dogged the bioethics community for decades. While sophisticated medical technology has allowed people to live longer, it has also caused protracted death, most often to the severe detriment of individuals and their families. Ira Byock, director of palliative medicine at Dartmouth-Hitchcock Medical Center, believes too many Americans are “dying badly.” In discussing this issue, he stated, “Families cannot imagine there could be anything worse than their loved one dying, but in fact, there are things worse.” “It’s having someone you love…suffering, dying connected to machines” (CBS News, 2014). In the not distant past, the knowledge, skills, and technology were simply not available to cure, much less prolong the deaths of gravely ill people. In addition to the ethical and moral dilemmas this presents, the costs of intensive treatment often do not realize appreciable benefits. However, cost alone should not determine when care becomes “futile” as this veers medicine into an even more dangerous ethical quagmire. While preserving life with the best possible care is always good medicine, the suffering and protracted deaths caused from the continued use of futile measures benefits no one. For this reason, the determination of futility should be a joint decision between the physician, the patient, and his or her surrogate.
There exists two possible solutions to the ethical dilemma of a terminally ill patient’s right to die: they are the legalization of physician assisted suicide and the banning of it. This paper will explore whether the legalization of PAS should be the recommended course of action or whether there are sufficient negative issues surrounding it to make the banning of it, the correct ethical choice.
In my future role as a healthcare administrator, ethical decision making will be required to address a conflict or uncertainty regarding competing values , such as personal, professional, organizational, and societal values (Thompson, 2011). Administrators involved in this decision-making process must consider the ethical principles of justice, autonomy, beneficence, and nonmaleficence. Healthcare organizations having growing concerns over ethical issues such as:
Thus the AMA has recently announced the implementation of the Institute for Ethics. The goal of this entity within the AMA will be to educate 10% of its member doctors (estimated to be 20,000) on hospice and palliative care. Further, they believe that providing responsible alternative treatment to ending life will all but eliminate the quest for euthanasia. This aggressive new project will be headed by Linda Emanuel, Professor of Bioethics at Harvard. The two-year pilot program is funded by a 2-million-dollar grant from the Robert Wood Johnson Foundation. Ironically, this foundation is also well known for aggressive pro-abortion funding. However,...
Ethical principals are extremely important to understand in the healthcare field. Ethical responsibilities in any situation depend on the role of the healthcare worker and the nature of the decision being made. Healthcare administrators and professionals must make ethical decisions that can be an everyday or controversial situation. When making such decisions, it is imperative to consider the four major principles of ethics: autonomy, nonmaleficence, beneficence, and distributive. By using these four principles, ethical decisions can effectively be made. For the purpose of this paper, examined will be the example of the treatment of an uninsured homeless patient. Poor health care be a cause and a result of homelessness.
An important factor in debates over health care and treatment strategies is the issue of cost. It is tremendously expensive to provide the state-of-the-art care that the modern hospital offers. Concerns about where the money will come from to care for elderly citizens appear to be making the case for "mercy killing" even more compelling. Under financial pressure, hospitals are exercising their right to deny such expensive healthcare to the aged or seriously ill.
The medical and ethical concerns focus on the health care delivery system as it impacts end-of-life decisions. There are three categories that this can be broken into. They are the quality of life, how decisions at the end of life are made, and the physician’s changing role in end-of-life actions (Roberts, 22).
Resources have always been inadequate for food, economics and healthcare and all scarce resources are rationed in one way or another. Healthcare resources can be in the forms of medicine, machinery, expensive treatment and organ transplantation. For decades, allocation of healthcare resources in an equitable manner has always been the subject of debate, concern and analysis, yet the issue has persistently resisted resolution. Scarcity of resources for healthcare and issue of allocation is permanent and inescapable (Harris, “Deciding between Patients”). Scarcity can be defined in general, in emergency and in crises as well as shortage of certain kind of treatment, medicine or organs. As a result of scarcity of resources, and some people may be left untreated or die when certain patients are prioritized and intention of is that everyone will ultimately be treated (Harris, 2009: 335). Allocation of limited resources is an ethical issue since it is vital to address the question of justice and making fair decisions. Ethical judgments and concerns are part of daily choice in allocation of health resources and also to ensure these resources are allocated in a fair and just way. This paper will explore how QALYs, ageism and responsibility in particular influence the allocation of healthcare resources in general through the lens of justice, equity, social worth, fairness, and deservingness.
Garrett, T. M., Baillie, H. W., & Garrett, R. M. (2010). Health care ethics: Principles and problems (5thed.). Upper Saddle River, NJ: Prentice Hall.
There are many issues when it comes to healthcare, and the overall healthcare system. Issues such as healthcare being affordable, accessibility, access to donor organs, end of life care, and appropriate staffing levels have been discussed extensively. With so many issues, deciding which is the most important has been of continued political debate at the expense of the people of the United States.
Yes, I feel as though it would be, because it sets up specific disciplines for the individuals that work there giving them an insight as to what rules and regulations that the organization expects from all their workers. Behaving ethically is at the heart of what it means to be a professional; it distinguishes professionals from others in the marketplace. Although, at times these professional standards cannot always be enforced there for healthcare organizations have put in place what is known as Healthcare Organizational Ombuds. This way it supports a patient’s safety by creating a channel through which employees at all levels can discuss problems that involve issues such as medical errors and maintain self-determination in how to address
These tax-payer funds would likely be much better utilized providing more effective, low cost care to more individuals than high cost, low effective care to one individual. However, as the provider follows medical ethics and their obligation is to the patient, this occurs quite frequently in our current system. This can happen in the treatment of cancers with low success rates, or other expensive treatments involved in prolonging life for individuals with terminal illnesses. Ultimately, future restrictions in resources and funding may require more difficult decisions based on the good of the many over the good of the individual.
“One of the most important public policy debates today surrounds the issues of euthanasia and assisted suicide. The outcome of that debate will profoundly affect family relationships, interaction between doctors and patients, and concepts of basic ethical behavior. With so much at stake, more is needed than a duel of one-liners, slogans and sound bites.”