By Souzy Dracopolou
Healthcare administration is a burning factor in the intervening time and this well timed and topical publication explores the moral concerns that come up within the context of healthcare administration. one of the issues mentioned are healthcare rationing, together with an exposition and defence of the Qaly criterion of healthcare rationing and an exam of the contribution that moral concept could make to the rationing debate, an research of the way managers will be preoccupied with the targets of administration and the values of medical professionals at the same time, an overview of capability directions in the direction of formulating a team spirit of healthcare administration and moral administration and a reassessment of the function of healthcare execs. Ethics and Values in Healthcare Management offers a necessary and masses wanted research of the moral difficulties linked to healthcare administration and gives a few options in the direction of ameliorationg healthcare corporations.
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Extra info for Ethics and Values in Healthcare Management
Priority setting is inevitably painful, and its consequences are bound to be unfortunate for someone or other. It is therefore understandable that many people cling, with childlike naivety, to the romantic illusion that if only more resources were devoted to health care, they could escape from the process altogether. But when more resources are made available, we still have to decide which are the highest priority uses to which they should be put, so this is really no escape route at all. The more interesting and substantial objections come from those who accept the fact of scarcity, and are willing to face up to its implications, but reject the approach I have outlined.
Is collective priority setting contrary to medical ethics? My second group of objectors are those who accept the need for collective priority setting, but believe that it is contrary to medical ethics. In the extreme, such people believe that it is the doctor’s duty to do everything possible for the patient in front of him or her, no matter what the costs. But in a resource-constrained system ‘cost’ means ‘sacrifice’ (in this case the value of benefits forgone by the person who did not get treated).
A QALY measure can in principle embrace any health-related quality of life characteristic that is important to people. The particular measure with which I am most familiar (the Euroqol measure) covers mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Note that ‘usual activities’ are whatever the individual’s usual activities are, and are not restricted to work activities. So, although developed primarily by economists, the QALY is not a measure of people’s economic worth, but a measure of whatever aspects of life they themselves value.
Ethics and Values in Healthcare Management by Souzy Dracopolou