No Margin, No Mission: Health Care Organizations and the Quest for Ethical ExcellenceOxford University Press, 21.08.2003 - 192 Seiten 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 neds 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. |
Inhalt
1 Virtue Among the Ruins? | 1 |
2 Evidencebased Ethics and the BEST Project | 13 |
3 Organizational Ethics | 25 |
4 Consumer Empowerment | 45 |
5 Medical Necessity Coverage Decisions and Medical Policy | 67 |
6 The Care of Vulnerable Populations | 97 |
7 Community Benefits | 117 |
8 The Confidentiality of Personal Health Information | 139 |
9 The Perennial Ethical Challenges of Health Care in Competitive Systems | 153 |
| 167 | |
| 173 | |
Andere Ausgaben - Alle anzeigen
No Margin, No Mission: Health Care Organizations and the Quest for Ethical ... Steven D. Pearson,James Sabin,Ezekiel J. Emanuel Eingeschränkte Leseprobe - 2003 |
Häufige Begriffe und Wortgruppen
approach BCBST benefit adjudication benefit design BEST project Bioethics BlueCare care of vulnerable Center central ethical obligations Clallam County clinical clinicians commitment community benefit programs competitive markets compliance conflicts consumer empowerment corporate costs coverage decisions create Cross Health System culture defined developed enrollees ethical challenges ethical domains ethical tensions ethics program evidence-based exemplary practices experience focus for-profit Foundation Health goal Group Health Cooperative Harvard Medical School Harvard Pilgrim Health health information Health Net Health Net’s health-care organizations HIPAA Holy Cross Health hospital HPHC HPHC’s identified improve integrity managed care organizations Massachusetts Medicaid medical necessity determination medical policy mental health mission NCQA needs organization’s organizational culture organizational ethics participation physicians plan’s priorities responsibility role seek sickle-cell disease specific staff staff-model stakeholders sumer technology assessment TennCare tion U.S. health-care system UPMC Health Plan vision vulnerable patients vulnerable populations
Beliebte Passagen
Seite x - Gillman, associate professor in the department of ambulatory care and prevention at Harvard Medical School, says the relationship between fetal life and obesity is complicated.
Verweise auf dieses Buch
Ethics in Health Administration: A Practical Approach for Decision Makers Eileen E. Morrison Eingeschränkte Leseprobe - 2006 |