著者
Suzanne Shale
出版者
The Keio Journal of Medicine
雑誌
The Keio Journal of Medicine (ISSN:00229717)
巻号頁・発行日
vol.57, no.1, pp.37-44, 2008 (Released:2008-04-04)
被引用数
3 or 0

This paper derives from a grounded theory study of how Medical Directors working within the UK National Health Service manage the moral quandaries that they encounter as leaders of health care organizations. The reason health care organizations exist is to provide better care for individuals through providing shared resources for groups of people. This creates a paradox at the heart of health care organization, because serving the interests of groups sometimes runs counter to serving the needs of individuals. The paradox presents ethical dilemmas at every level of the organization, from the boardroom to the bedside. Medical Directors experience these organizational ethical dilemmas most acutely by virtue of their position in the organization. As doctors, their professional ethic obliges them to put the interests of individual patients first. As executive directors, their role is to help secure the delivery of services that meet the needs of the whole patient population. What should they do when the interests of groups of patients, and of individual patients, appear to conflict? The first task of an ethical healthcare organization is to secure the trust of patients, and two examples of medical ethical leadership are discussed against this background. These examples suggest that conflict between individual and population needs is integral to health care organization, so dilemmas addressed at one level of the organization inevitably re-emerge in altered form at other levels. Finally, analysis of the ethical activity that Medical Directors have described affords insight into the interpersonal components of ethical skill and knowledge.

言及状況

外部データベース (DOI)

Delicious (1 users, 2 posts)

[via:packrati.us] Really reccomend reading @ethicsconsult's paper on moral leadership in healthcare https://t.co/xvn9dV2I <-mentions choices around targets
[via:packrati.us] The organisational ethical dilemmas of medical directors -balancing individual population needs https://t.co/KcKehCoB <-by @ethicsconsult

Twitter (22 users, 27 posts, 14 favorites)

MT @DrCJohnst: leadership challenges of individual needs vs org & ethical action vs thought https://t.co/AfC423yR @maxine_craig
Read this>“@amcunningham: Really reccomend reading @ethicsconsult's paper on moral leadership in healthcare https://t.co/Q06Wq1X8
Looks v interesting MT @philaberry: The organisational ethical dilemmas of medical directors... https://t.co/UihOOvJG <-by @ethicsconsult
Great article on leadership challenges of individual needs vs org & ethical action vs thought https://t.co/IW0myw1E HT @amcunningham
@C7RKY https://t.co/5wLONDkY > Came across this, links to our earlier tweets
Superb paper>MT“@amcunningham: The organisational ethical dilemmas of medical directors... https://t.co/TBIoUF2E <-by @ethicsconsult”
Thanks 4 sharing- "@amcunningham: Really reccomend reading @ethicsconsult's paper on moral leadership in healthcare https://t.co/79fnLeWm"
Thanks for tweet came at right time Francis new hospital ethics group students questions https://t.co/RbhW0mTJ
Really reccomend reading @ethicsconsult's paper on moral leadership in healthcare https://t.co/xvn9dV2I <-mentions choices around targets
The organisational ethical dilemmas of medical directors -balancing individual population needs https://t.co/KcKehCoB <-by @ethicsconsult

収集済み URL リスト

https://www.jstage.jst.go.jp/article/kjm/57/1/57_1_37/_pdf (15)

https://www.jstage.jst.go.jp/article/kjm/57/1/57_1_37/_article (11)