Article (Scientific journals)
The Changing Health Care Landscape and Implications of Organizational Ethics on Modern Medical Practice.
Castlen, Joseph P.; Cote, David J.; Moojen, Wouter A. et al.
2017In World Neurosurgery, 102, p. 420-424
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Keywords :
Cooperative Behavior; Ethics, Institutional; Ethics, Medical; Humans; Physicians; Administration; Ethical climate; Hospital; Leadership; Organizational ethics; Quality management
Abstract :
[en] INTRODUCTION: Medicine is rapidly changing, both in the level of collective medical knowledge and in how it is being delivered. The increased presence of administrators in hospitals helps to facilitate these changes and ease administrative workloads on physicians; however, tensions sometimes form between physicians and administrators. ANALYSIS: This situation is based on perceptions from both sides that physicians obstruct cost-saving measures and administrators put profits before patients. In reality, increasing patient populations and changes in health care are necessitating action by hospitals to prevent excessive spending as health care systems become larger and more difficult to manage. Recognizing the cause of changes in health care, which do not always originate with physicians and administrators, along with implementing changes in hospitals such as increased physician leadership, could help to ease tensions and promote a more collaborative atmosphere. Ethically, there is a need to preserve physician autonomy, which is a tenet of medical professionalism, and a need to rein in spending costs and ensure that patients receive the best possible care. CONCLUSION: Physicians and administrators both need to have a well-developed personal ethic to achieve these goals. Physicians need be allowed to retain relative autonomy over their practices as they support and participate in administrator-led efforts toward distributive justice.
Disciplines :
Genetics & genetic processes
Author, co-author :
Castlen, Joseph P.
Cote, David J.
Moojen, Wouter A.
Robe, Pierre ;  Université de Liège - ULiège > Département des sciences biomédicales et précliniques > Département des sciences biomédicales et précliniques
Balak, Naci
Brennum, Jannick
Ammirati, Mario
Mathiesen, Tiit
Broekman, Marike L. D.
Language :
English
Title :
The Changing Health Care Landscape and Implications of Organizational Ethics on Modern Medical Practice.
Publication date :
2017
Journal title :
World Neurosurgery
ISSN :
1878-8750
eISSN :
1878-8769
Publisher :
Elsevier, Netherlands
Volume :
102
Pages :
420-424
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
Copyright (c) 2017 Elsevier Inc. All rights reserved.
Available on ORBi :
since 08 February 2018

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