The Ethical Life of Health Care Organizations
Reiser, Stanley Joel
Hastings Center Report. 1994 Nov-Dec; 24(6): 28-35.
While organizations have had a long history in the life of health care, during the twentieth century they have achieved an unprecedented dominance. Individual decisionmakers increasingly are being supplanted by the rules, standards, traditions, and collective decision process of organizations, which instruct and construct institutional actions in shaping health care choices. As their authority has grown, these organizations have not given adequate attention to the essential associations that exist among their constituents, to the values generated and used in their interactions, or to the role of the organization itself in fostering humaneness in the relationships and environment of the workplace. This article addresses these issues, focussing especially on academically affiliated institutions. It demonstrates the connections between policymaking and human values in health care organizations. It calls for a major exploration of the values determining their actions, comparable to the fundamental reappraisal by modern clinicians of the ethics governing their individual practices, and commensurate with the authority and responsibility of organizations in health care today.
Accountability; Administrators; Beneficence; Codes of Ethics; Education; Environment; Ethical Review; Ethicists; Ethics; Faculty; Goals; Health; Health Care; Health Facilities; Health Personnel; Hospitals; Humanism; Institutional Ethics; Interprofessional Relations; Investigators; Justice; Life; Medical Schools; Moral Obligations; Obligations to Society; Organization and Administration; Organizations; Patient Care; Physicians; Professional Ethics; Resource Allocation; Review; Schools; Self Concept; Standards; Students; Trust; Values; Virtues;
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