Doing Good and Doing Well: Ethics, Professionalism and Success
Article Abstract:
A change in hospital policy from emphasis on patient care to a business climate will mitigate community trust, according to leading health administrators. Direct care professionals are not very knowledgeable about hospital finance; concern with money has a disparaging effect upon them. However, creditors, suppliers, regulatory agencies and third party payers must be dealt with on a commercial basis, or health care facilities will not survive for long. Hospitals' codes of ethics recognize responsibilities for patient care, community involvement and health personnel. There is an ethical model for nurses and doctors to follow, but none for administrators. Ethical issues joined with management policies reflect decision making on euthanasia, informed consent, organ allocation and other socially significant treatments. A health administrator must embody leadership qualities to use humanitarian values coupled with business techniques for hospital viability.
Publication Name: Hospital & Health Services Administration
Subject: Health care industry
ISSN: 8750-3735
Year: 1984
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Administrative Ethics and the Health Services Manager
Article Abstract:
The Code of Ethics in the health care profession obligates the members of the American College of Hospital Administration (ACHA) to follow certain rules of acceptable conduct. A study dealing with the enforcement of the ethical code and ACHA managers: use of the code is reported here. A ratio of three to one members has indicated desire for code enforcement and professional guidance. Code users assert that the document lacks specific rules and comprehensive procedures. Statistical contingency tables depicting a conceptual framework of codification and corporate decisions encircled by ethical and legal quadrants are shown. Consideration of self-regulation should be given marked prominence, or consequences resembling licensing laws for health services institutions will be forthcoming, such as those that exist now for nursing home administrators.
Publication Name: Hospital & Health Services Administration
Subject: Health care industry
ISSN: 8750-3735
Year: 1984
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The Impact of Regulation on the Administrative Structure of Hospitals: Toward an Analytic Framework
Article Abstract:
A conceptual framework concerning hospital regulation changes is developed. The effects of regulation on hospital organization and administration are detailed. Two types of organizational environments are differentiated: technical and institutional. Hospitals operate in highly technical and institutional environments which means being subject to more regulations. Structural characteristics of a regulatory environment include regulatory intensity, regulatory centralization and regulatory fragmentation. Programmatic and funding decisions are made in institutional environments. Hospital responses to regulatory characteristics are outlined by type of hospital.
Publication Name: Hospital & Health Services Administration
Subject: Health care industry
ISSN: 8750-3735
Year: 1984
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