Ethical Decision Making in Healthcare Management

Peer, Kimberly S.; Rakich, Jonathon S.

doi:10.1080/00185869909596532

Cited by 7 publications

(6 citation statements)

References 3 publications

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“…As Peer and Rakich (1999) underline, an efficient manager has to take into account not only the importance of the decision which he must take but also the impact that this decision will have on all partners (community, organization, individual).…”

Section: Perspectivesmentioning

confidence: 99%

Globalization and Responsibility

Delić¹

2012

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and Herzegovina. He has received his MA in Modern Philosophy and his PhD in Social Science. He has published two books, several articles in the field of humanities and social sciences and he has participated in international research projects. He teaches economic sociology, globalization theory, social research methodology, sociology of law and sociology of Bosnian society. Subjects of scientific interest include: sociology of knowledge, methodologies, critical discourse analysis, critical studies of science, technology and ideology, globalization, glocalization, multicultural and social epistemology, sociology of Bosnian society, sociology of sustainable communities, bioethics, social and deep ecology, postcolonial studies and local and regional development.

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Section: Perspectivesmentioning

confidence: 99%

Globalization and Responsibility

Delić¹

2012

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“…Health care costs affect business competitiveness (Porter and Teisberg, 2004;Goldstein, 2008;CED, 2007), patient access to care (Lagnada and Tanouye, 2001) and personal finances (Gleckman, 2006). Private insurance sector efforts to contain costs have led to accusations that doctors are constrained in their freedom to treat patients (Novack, 1991;Peer and Rakish, 1999), and that insurance companies inappropriately deny coverage (Bradford, 1997). Basic to many of the criticisms of the current US health care system are:…”

Section: Introductionmentioning

confidence: 99%

The need for a social marketing perspective of consumer‐driven health care

Marshall

Skiba

Paul

2009

International Journal of Pharmaceutical and Healthcare Marketing

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Purpose -Consumer-driven health care (CDHC) has been proposed to reduce the USA health care costs through greater free market economic exposure. The purpose of this paper is to review the USA health care system, insurance plans, and CDHC plan elements and assumptions regarding patients, service providers, and insurers, in order to identify research and social marketing needs of CDHC. Design/methodology/approach -The paper is an assessment of literature from academic and practitioner communities. Findings -Social marketing programs can contribute to preparing consumers and practitioners for CDHC. However, the degree to which CDHC can reduce health care costs is uncertain. More research is needed comparing CDHC plans with traditional plans and comparing CDHC enrollees with enrollees in other types of plans to determine the true benefits and costs of CDHC and to identify consumers' information needs. Research is needed into how to gather and provide understandable health care provider quality and cost-effectiveness information, and into how current insurers can help consumers make effective CDHC decisions. Research is needed as to how CDHC is perceived by consumers, providers, and insurers, and the use of CDHC reimbursement accounts and their effect on behavior and costs. Research is also needed into which decisions can be made by consumers without specialized professional knowledge. Provider research is needed into outcome risk adjustments, how practitioners view CDHC, how willing practitioners are to participate in a more open-free market, and how CDHC may affect professional practices. Originality/value -Insights gained from this paper can contribute to social marketing program designs needed for practitioner and consumer acceptance and effective use of CDHC.

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“…The solving of ethical dilemmas requires a detailed examination of the impact that it will have in concerned districts because the real dilemma appears when a resolution has conflicting effects on diverse districts (Price, 1992). As Peer and Rakich (1999) underline, an efficient manager has to take into account not only the importance of the decision which he must take but also the impact that this decision will have on all partners (community, organization, individual).…”

Section: Perspectivesmentioning

confidence: 99%

“…For health care managers for example, they are the ones appearing regularly; nature of healthcare being such that decisions having ethical implications are daily taken for diverse situations such as accessibility to organized services, employees' behavior, clinical practices, allowance of restricted resources (Nelson, 2005). For health care managers, they appear particularly in the management of care systems where there are two allegiances (responsibility to a third party and responsibility to the patient) and where a set of responsibilities cannot be carried out without violating another one (Rakich & al., 1992, as cited in Peer & Rakich, 1999). These dilemmas appear at three overlap levels: 1) the macro level which includes the social and community concerns reflecting governmental measures or social policies, and which has a typically cultural base; 2) the meso level which focuses on professional or organizational concerns; and 3) the micro level interested in personal or individual concerns, and which can include interpersonal communication or relationship between the manager and another individual (Hiller, 1986).…”

Section: Introductionmentioning

confidence: 99%

“…In daily practice, ethical dilemmas are unavoidable (Peer & Rakich, 1999). For health care managers for example, they are the ones appearing regularly; nature of healthcare being such that decisions having ethical implications are daily taken for diverse situations such as accessibility to organized services, employees' behavior, clinical practices, allowance of restricted resources (Nelson, 2005).…”

Section: Introductionmentioning

confidence: 99%

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