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dc.creatorFoglia, Mary Bethen
dc.creatorPearlman, Robert A.en
dc.creatorBottrell, Melissaen
dc.creatorAltemose, Jane K.en
dc.creatorFox, Ellenen
dc.date.accessioned2016-01-09T00:47:16Zen
dc.date.available2016-01-09T00:47:16Zen
dc.date.created2009-04en
dc.date.issued2009-04en
dc.identifierdoi:10.1080/15265160802716795en
dc.identifier.bibliographicCitationAmerican Journal of Bioethics 2009 April; 9(4): 28-36en
dc.identifier.urihttp://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Ethical+challenges+within+Veterans+Administration+healthcare+facilities:+perspectives+of+managers,+clinicians,+patients,+and+ethics+committee+chairpersons&title=American+Journal+of+Bioethics+&volume=9&issue=4&date=2009-04&au=Foglia,+Mary+Beth;+Pearlman,+Robert+A.;+Bottrell,+Melissa;+Altemose,+Jane+K.;+Fox,+Ellenen
dc.identifier.urihttp://dx.doi.org/10.1080/15265160802716795en
dc.identifier.urihttp://hdl.handle.net/10822/1028847en
dc.description.abstractTo promote ethical practices, healthcare managers must understand the ethical challenges encountered by key stakeholders. To characterize ethical challenges in Veterans Administration (VA) facilities from the perspectives of managers, clinicians, patients, and ethics consultants. We conducted focus groups with patients (n = 32) and managers (n = 38); semi-structured interviews with managers (n = 31), clinicians (n = 55), and ethics committee chairpersons (n = 21). Data were analyzed using content analysis. Managers reported that the greatest ethical challenge was fairly distributing resources across programs and services, whereas clinicians identified the effect of resource constraints on patient care. Ethics committee chairpersons identified end-of-life care as the greatest ethical challenge, whereas patients identified obtaining fair, respectful, and caring treatment. Perspectives on ethical challenges varied depending on the respondent's role. Understanding these differences can help managers take practical steps to address these challenges. Further, ethics committees seemingly, are not addressing the range of ethical challenges within their institutions.en
dc.formatArticleen
dc.languageenen
dc.sourceeweb:324705en
dc.subjectCaringen
dc.subjectEthicsen
dc.subjectEthics Committeesen
dc.subjectFocus Groupsen
dc.subjectInterviewsen
dc.subjectLifeen
dc.subjectManagersen
dc.subjectPatient Careen
dc.subjectPatientsen
dc.subjectStakeholdersen
dc.subject.classificationBioethicsen
dc.subject.classificationHealth Careen
dc.subject.classificationAllocation of Health Care Resourcesen
dc.subject.classificationEthics Committees / Consultationen
dc.subject.classificationQuality of Health Careen
dc.subject.classificationBusiness Ethicsen
dc.subject.classificationHealth Care for Particular Diseases or Groupsen
dc.titleEthical Challenges Within Veterans Administration Healthcare Facilities: Perspectives of Managers, Clinicians, Patients, and Ethics Committee Chairpersonsen
dc.provenanceCitation prepared by the Library and Information Services group of the Kennedy Institute of Ethics, Georgetown University for the ETHXWeb database.en
dc.provenanceCitation migrated from OpenText LiveLink Discovery Server database named EWEB hosted by the Bioethics Research Library to the DSpace collection EthxWeb hosted by DigitalGeorgetown.en


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